Philips SureSigns VSi Monitor Owners Manual PDF

SureSigns VSi
Vital Signs Monitor

INSTRUCTIONS FOR USE
Release B.01
English
Notice
Proprietary Information
This document contains proprietary information, which is protected by
copyright.
Copyright
Copyright © 2011 Koninklijke Philips Electronics N.V.
All Rights Reserved
Trademark Acknowledgements
SureSigns is a registered trademark of Koninklijke Philips Electronics N.V.
Other product names may be trademarks of their respective owners.
Manufacturer
Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810
(978) 687-1501
Document Number
4535 642 11121
Warranty Disclaimer
The information contained in this document is subject to change without notice.
Philips Medical Systems makes no warranty of any kind with regard to this
material, including, but not limited to, the implied warranties or merchantability
and fitness for a particular purpose. Philips Medical Systems shall not be liable
for errors contained herein or for incidental or consequential damages in
connection with the furnishing, performance, or use of this material.
ii SureSigns VSi Instructions for Use

Printing History
New editions of this document incorporate all material updated since the
previous edition. Update packages may be issued between editions and contain
replacement and additional pages to be merged by a revision date at the bottom
of the page. Pages that are rearranged due to changes on a previous page are not
considered revised.
The documentation printing date and part number indicate its current edition.
The printing date changes when a new edition is printed. (Minor corrections and
updates that are incorporated at reprint do not cause the date to change.) The
document part number changes when extensive technical changes are
incorporated.
First Edition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . October 2011
SureSigns VSi Instructions for Use iii

Conventions
This section describes the conventions used in this guide.
Text Formatting
The following typographical conventions are used in this guide:
Typeface Usage Example
Bold System keys Press the Main Screen key.

Special bold User interface text Open the System Menu.
Italic Variables, document • <product name>-<hardware

titles configuration>-<software
version>.cfg
• SureSigns VM Series
Instructions for Use
Decimal Points
Because the SureSigns monitor uses a period (.) to indicate a decimal point in
decimal numbers (for example, 10.0), all decimal numbers in this guide use a
period as a decimal point. Commas are not used as decimal points.
Notes, Cautions, and Warnings

This guide uses the following conventions for Notes, Cautions, and Warnings.
Note — A Note calls attention to an important point in the text.
iv SureSigns VSi Instructions for Use

Caution A Caution calls attention to a condition or possible situation that could
damage or destroy the product or the user’s work.
Warning A Warning calls attention to a condition or possible situation that could

cause injury to the user and/or patient.
Explanation of Symbols
The following symbols appear on the SureSigns VSi and packaging.
Symbol Description Symbol Description
Up/Down key Alarm Silence key
Select key NBP key
On/Standby key Main Screen key
CE marking Serial number

0123
SureSigns VSi Instructions for Use v

Rx Only Prescription Use Only Batch code

(US Federal Law)
90% Humidity limitation Date of manufacture
15%
Fragile, handle with care Keep out of sun
Keep dry Keep upright
Catalog number Manufacturer’s Name

and Address
Electrostatic sensitive Sterile

device handling
SpO2 connector USB port
Temperature connector Charging LED
NBP connector AC Power LED
ICES-001 Canadian ISM Option number

requirement
vi SureSigns VSi Instructions for Use

Compliance with WEEE Ethernet port

standard
100-240V ~ 50/60Hz 120VA

Power label CSA mark
T 1.0A 250V
Caution, consult Nurse call connector

accompanying documents
Defibrillator Proof Type 40°C

Temperature limitation
CF applied part
-20°C
Atmospheric pressure RF Interference

K3$
PD[
limitation
K3$
PLQ
EUFP (Environmentally- Ingress protection

friendly use period - against vertically falling
China) water drops
Alarms off Equipotential grounding

post
CE marking and identifier Korean radio mark

for radio
IC ID Industry Canada radio FCC ID FCC radio label

label
SureSigns VSi Instructions for Use vii

Regulatory and Safety Specifications
Declaration
The SureSigns VSi vital signs monitor is a Class IIb device and complies with
0123 the requirements of the Council Directive 93/42/EEC of 14 June 1993
concerning medical devices and carries CE-marking accordingly.
The radio device used in the SureSigns VSi vital signs monitor is in compliance
with the essential requirements and other relevant provisions of Directive
1999/5/EC (Radio Equipment and Telecommunications Terminal Equipment
Directive).
Authorized EU Representative
Philips Medizin Systeme Böblingen GmbH
Hewlett-Packard Str. 2
71034 Böblingen
Germany
Rx Only
Caution United States Federal Law restricts this device to sale by or on the order of
a physician.
viii SureSigns VSi Instructions for Use

Contents
1. Overview
About the SureSigns VSi Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
SureSigns VSi Monitor Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
SureSigns VSi Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
2. Basic Operation
The Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
The Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Setting up the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Powering Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Charging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
On/Standby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Deep Sleep Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Changing the System Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Mounting the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Main Screen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Vital Signs Display Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Patient Records Display Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Changing the Display Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Tool Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
Changing System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
Saving Patient Records to a USB Flash Drive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Viewing Monitor Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
Networked Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20
Verifying the Network Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20
Synchronizing Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21
Using the Monitor Safely . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
3. Creating a New Patient Record

The Patient Records Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Patient Records Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Patient ID Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Entering Patient IDs and Saving Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Entering Patient IDs Using the On-screen Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Contents-1
SureSigns VSi Instructions for Use
Entering Patient IDs by Scanning Individual Barcodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Entering Patient IDs with a Programmed Barcode Scanner . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Saving Measurements Without a Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Viewing Records in the Patient Records Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Selecting an Existing Patient ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Editing a Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Editing a Patient Record Using the On-screen Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Editing a Patient Record by Scanning Individual Barcodes . . . . . . . . . . . . . . . . . . . . . . . . 3-21
Editing a Patient Record Using a Programmed Barcode Scanner . . . . . . . . . . . . . . . . . . . . 3-22
Deleting Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23
Deleting Specific Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24
Deleting All Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25
4. Alarms
Visual Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Flashing Numeric Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Alarms Off Symbol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Audible Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Speaker Malfunction Notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Latched and Non-Latched Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Adjusting the Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Audio Pause Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Audio Off Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Testing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Nurse Call System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Alarms Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
5. Monitoring SpO2
Selecting an SpO2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Connecting SpO2 Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
The SpO2 Numeric Pane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Changing SpO2 Response Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
SpO2 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
6. Monitoring NBP
NBP Measurement Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Selecting an NBP Cuff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Connecting the Cuff and Hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Contents-ii
NBP Numeric Panes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3
Changing NBP Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4
Configuring the Initial Inflation Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4
Changing the NBP Units of Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
Recalculating the NBP Value if the Limb is not at Heart Level . . . . . . . . . . . . . . . . . . . . . . .6-6
Stopping an NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7
NBP Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7
7. Monitoring Temperature
Connecting the Temperature Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1
The Temperature Numeric Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Taking a Temperature Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Changing Temperature Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
Changing the Temperature Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5
Changing the Probe Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7
Changing the Temperature Units of Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8
Verifying the Temperature Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8
Temperature Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10
8. Monitoring Pulse Rate

The Pulse Rate Numeric Pane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-1
Changing the Pulse Rate Source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2
9. Care and Cleaning

General Guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-1
Cleaning and Disinfecting the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2
Cleaning and Disinfecting the Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4
Cleaning and Disinfecting the Temperature Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
Cleaning and Disinfecting the Probe and Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
Cleaning and Disinfecting the Probe Well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
10. Accessories List

SpO2 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
NBP Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
Temperature Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9
Miscellaneous Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10
11. Specifications
General Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1
Safety Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Electrical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Contents-iii
Environmental Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
NBP Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Oscillometric NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Temperature Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
SpO2 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Interface Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Radio Regulatory Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
USA — Federal Communication Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Industry Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
European Union . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
12. Troubleshooting
Viewing System Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Diagnosing a Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Troubleshooting Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Alarms and Error Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5
A. Alarm Specifications
Technical Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
B. Electromagnetic Compatibility
Instructions for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-1
Reducing Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-2
Emissions and Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-3
Guidance and Manufacturer’s Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-4
Contents-iv
1
Overview
This guide describes how to operate the SureSigns® VSi vital signs monitor. For
information about setting up the monitor, see the SureSigns VS2+ and VSi
Installation and Configuration Guide, which describes how to install the battery,
power up the monitor, and configure some of the system settings before using
the monitor.
About the SureSigns VSi Monitor

This chapter provides a brief overview of the SureSigns VSi monitor.
Warning Before each use, inspect the monitor and accessories for deterioration or
damage. Replace any damaged equipment or report it to your system
administrator.
Overview
SureSigns VSi Instructions for Use 1-1
Indications for Use
Note — This document includes information about functions and features that
are not available on all SureSigns VSi monitors or may only be available in
selected countries. For information specific to your country, please contact your
local Philips representative.
The SureSigns VSi is a vital signs monitor that can measure blood pressure,
pulse rate, oxygen saturation (SpO2), and temperature. Features include:
• Adult, pediatric, and neonatal capability

• Lithium ion battery
• Stores up to 50 patient records
• Optional roll stand or wall mount
• Optional barcode scanner for Patient ID entry
• Data export via wired LAN, wireless LAN1, or serial connection
Indications for Use

The SureSigns VSi vital signs monitor is for use by healthcare professionals
whenever there is a need for monitoring the physiological parameters of
patients.
Standard and optional parameters include:
• NBP
• SpO2
• Temperature
1. The wireless option may not be available in all countries.
Overview
1-2 SureSigns VSi Instructions for Use
Intended Use
Intended Use
The SureSigns VSi vital signs monitor is for measurement of multiple
physiological parameters of adults, pediatrics, and neonates in healthcare
environments. Additionally, the monitor is intended for use in transport
situations within a healthcare facility.
SureSigns VSi Monitor Configurations

The SureSigns VSi is available in several configurations. In the following table,
a solid circle indicates a standard feature and a hollow circle indicates an
optional feature.
Measurement Parameters and Features
NBP SpO2 Temp Wireless
863275 ●
863276 ● ● o
863277 ● ● ● ●
Overview
SureSigns VSi Documentation
SureSigns VSi Documentation

SureSigns VSi documentation includes:
• SureSigns VS2+ and VSi Installation and Configuration Guide:

Provides instructions for unpacking, installing, and connecting all
hardware. Includes initial testing and configuration procedures. Also
includes instructions for returning the monitor.
• SureSigns VSi Instructions for Use: Provides information for day to day
operation of the VSi monitor. Also includes safety information, monitor
specifications, and compatible accessories.
Note — For information about purchasing additional copies of the

SureSigns VSi Instructions for Use, contact the Philips Customer Care
Center.
• SureSigns VSi Quick Card: Provides brief descriptions of commonly

used VSi functions.
• SureSigns VS2+ and VSi Service Guide: Provides information for
repairing and testing the monitor. Includes assembly diagrams, spare parts
lists, and troubleshooting information.
• SureSigns VS2+ and VSi Data Export Guide: Provides detailed
information about the syntax and structure of the HL7 messages that are
exported from the VS2+ monitors and VSi monitors.
• SureSigns VS2+ and VSi Network Configuration Guide: Provides
instructions for configuring your VS2+ monitors and VSi monitors to
connect to a network using a wired LAN connection, a wireless LAN
connection, or an RS-232 serial adapter.
Overview
2
Basic Operation
This chapter describes how to begin using the SureSigns VSi monitor.
For information about setting up and configuring the monitor, see the SureSigns
VS2+ and VSi Installation and Configuration Guide.
The Front Panel

All function keys and LEDs are on the monitor’s front panel. The following
illustration and table describe these controls.
Main Screen key Select key
NBP key Up/Down key
Alarm Silence key

Charging LED
On/Standby key AC Power LED
Basic Operation
The Front Panel
Control Icon Description
Alarm Silence Press to pause an alarm for a specified period of time. For more
key information, see Chapter 4, “Alarms.”
NBP key Press to start an NBP measurement. If an NBP measurement is

underway, press this key to stop the measurement.
Up/Down key Press to move between menu items.
Main Screen key Press to close a menu and return to the main screen. When the
main screen is displayed, press to switch between display modes.
Select key Press to select a setting.
On/Standby key Press once to power up the monitor. Press again to enter Standby
mode.
Charging LED Changes color based on the charging status of the battery. For
more information, see “Charging the Battery” on page 2-5.
AC Power LED When lit, indicates that the monitor is connected to an AC power
source.
Basic Operation
The Rear Panel
The Rear Panel

The following illustration and table describe the connectors on the back of the
monitor.
USB port
Ethernet port
Nurse call connector
Equipotential
Power connector Grounding Post
Connector Description
Ethernet 10/100 Base-T Ethernet port. Used for LAN data

port export. See your system administrator for more
information.
USB port Standard USB 2.0, 4-pin connector used for:

• The optional barcode scanner
• Data export through the optional serial interface
adapter
• Export of patient records to a USB flash drive
• Export and import of configuration settings
• Software upgrades
For more information, see your system
administrator.
Basic Operation
Setting up the Monitor
Connector Description
Nurse call 3.5 mm phone jack for connection to a nurse call

connector system.
Power connector Connection for the AC power cord.

100-240V ~ 50/60Hz 120VA
T 1.0A 250V
Equipotential For facilities that require a potential equalization

grounding connection.
post

This section describes how to power up the monitor and charge the battery.
Powering Up
The monitor operates on AC power or the internal battery.
Note — Philips recommends that a battery is always installed in the monitor. If

the monitor loses AC power, it resorts to battery power. If an AC power failure
occurs and the monitor does not contain a battery, monitoring is interrupted.
To power up the monitor:
Step
1 Connect the power cord to the power connector on the monitor’s

rear panel and to an AC power source.
Basic Operation
2 Ensure that the AC outlet is properly grounded and supplies the

specified voltage and frequency (100 – 240 VAC, 50 – 60 Hz).
Note — Within the U.S., a hospital-grade outlet is recommended.
The green AC Power LED on the front panel lights

when the AC power source is connected. Also, the
AC Power
Charging LED on the front panel indicates
LED
the current charging status of the battery. For more
information, see “Charging the Battery” on page 2-5.
3 Press the On/Standby key.

The monitor powers up and performs a self-test.
During this self-test, the monitor also tests the
On/Standby key speaker; listen for an audible tone to confirm that
the speaker is working properly. To verify the
speaker is working at any time, see “Testing Alarms” on page 4-9.
You may also be prompted to change the system date and time the
first time you power up the system. For more information, see
“Changing the System Date and Time” on page 2-9.
If your facility requires a separate potential equalization connection, use the

grounding post on the rear of the monitor. Connect a grounding cable from the
post to the grounding system in your facility.
Charging the Battery

Any time the monitor is connected to AC power, the battery is being charged.
When you first receive the monitor, the battery charge may be low. You should
connect the monitor to an AC power source before using it on battery power
alone.
If the monitor is connected to AC power, and power is then disconnected, the

monitor automatically resorts to battery power, if the battery is sufficiently
charged. All patient records are preserved.
Basic Operation
Note — To ensure that the battery is sufficiently charged, keep the monitor
plugged in to AC power when it is not in use.
Three indicators show the charging status of the battery: the Charging LED, the
Battery Status pane, and the large battery icon.
Charging LED
The Charging LED on the front panel provides the charging status of the battery.
Charging LED
The color of the LED indicates how much charge remains on the battery:
• Green: The battery is at least 90% charged.

• Flashing Green: More than 30% charge, but less than 90%.
• Yellow: More than 21% charge, but less than 30%.
• Flashing Yellow: Less than 21% charge.
Battery Status Pane
If the monitor is On (with battery or AC power), the Battery Status pane at the
bottom of the monitoring screen indicates battery status. The number and color
Battery Status of bars in the pane indicates how much charge remains on the battery:
• Five green bars: At least 90% charge.

• Two to four green bars: More than 30% charge, but less than 90%.
• One yellow bar: More than 21% charge, but less than 30%. This charge
level triggers a Low Batt technical alarm.
• One red bar: Less than 21% charge. This charge level triggers an
Extreme Low Batt technical alarm.
If the monitor is On with battery power, you can highlight the Battery Status
pane to view the estimated time remaining on the battery.
Basic Operation
Large Battery Icon
If the monitor is in Standby mode and connected to AC power, a large battery

icon appears in the middle of the monitor screen. The number and color of bars
Battery icon
in the large battery icon correspond to the charge levels in the Battery Status
pane, as described in “Battery Status Pane” on page 2-6. For more information
about Standby mode, see “On/Standby Mode” on page 2-7.
Your system administrator can configure the monitor so the large battery icon
does not appear on the monitor screen.
Note — If the battery level drops below 12%, the monitor enters Deep Sleep
mode. No measurements are taken and no alarms sound. For more information,
see “Deep Sleep Mode” on page 2-8.
Warning Dispose of used batteries in an environmentally responsible manner. Do not

dispose of the battery in normal waste containers. Consult your hospital
administrator to find out about local arrangements.
On/Standby Mode
If you press the On/Standby key while the monitor is On, the monitor goes into
Standby mode and the following occurs:
• If the monitor is not connected to an AC power source, the display is

blank.
• If the monitor is connected to an AC power source, a large battery icon
appears in the middle of the screen, if configured to display. The number
and color of bars in the icon indicate how much charge remains on the
battery. If the battery requires service, a message appears on the screen.
Note — If the monitor is connected to an AC power source but does not

contain a battery, the large battery icon contains no bars.
Basic Operation
• Patient records remain in memory.

• Monitoring stops.
To reduce power consumption, your system administrator can configure the
monitor to automatically go into Standby mode after 5, 10, 15, or 30 minutes of
inactivity. Only authorized personnel can change this setting (the Auto Suspend
setting) in the password-protected System Admin Menu.
To resume monitoring, press the On/Standby key.
Deep Sleep Mode

The monitor enters Deep Sleep mode when:
• The monitor is not connected to an AC power source and it remains in

Standby mode for more than 30 minutes or the battery level drops below
30%.
• The monitor is on, but not connected to an AC power source, and the
battery level drops below 12%.
In Deep Sleep mode, the display is blank and the system uses minimal power to
maintain the system clock.
To resume monitoring, connect the monitor to an AC power source and press the
On/Standby key to turn the monitor back On.
Basic Operation
Changing the System Date and Time
Changing the System Date and Time

Use the following procedure to change the system date and time. If the
Date/Time Menu is already open, skip to step 3.
Note — If your system administrator disables the Date/Time menu in the

password-protected System Admin Menu, you cannot change the system date
and time.
The following conditions apply to the system date and time:
• If the monitor is networked and your system administrator has enabled

time synchronization, the monitor date and time are automatically
synchronized with the hospital EHR server or the HL7 interface server.
• The date and time cannot be changed while a patient record is open or if a
temperature or NBP measurement is in progress.
• The system clock does not adjust for daylight saving time. If time
synchronization is not enabled, you must manually change the time on the
monitor.
To change the system date and time:
Step
1 Press the Up/Down key to highlight the Date/Time pane, in the

lower right corner of the screen.
Note — The Date/Time pane only displays the time. When you
highlight the Date/Time pane, the tool tip displays both the date
and time.
2 Press the Select key.

The Date/Time Menu appears.
3 Press the Up/Down key to highlight the parameter you want to

change.
Basic Operation
Mounting the Monitor
4 Press the Select key, and then press the Up/Down key until the
desired value appears.
5 Press the Select key again to save the new value.
6 Repeat step 3 through step 5 to change other values in the menu.
7 Press the Up/Down key to highlight the Apply button, and then
press the Select key to save your changes and close the menu.
You can change the date format (mm/dd/yyyy or dd/mm/yyyy) and you can
hide the time display using options in the System Menu. For details, see
“Changing System Settings” on page 2-15.
Mounting the Monitor

You can mount the monitor on a roll stand, wall mount, or tabletop base.
Caution If your monitor is mounted on a roll stand, use the handle on the roll stand
to move the monitor. Do not use the monitor handle or the antenna to move
the monitor; doing so creates stress on the mounting bracket and could
cause the monitor to fall off the roll stand.
Note — The weight of objects placed in the basket of a roll stand must not
exceed 3.6 kg (8 lb).
For information about mounting the monitor, see the instructions for use
provided with the mounting hardware.
Basic Operation
Main Screen Display
Main Screen Display

The SureSigns VSi monitor has two display modes: Vital Signs mode and
Patient Records mode.
Note — The illustrations in this guide show the screens on a fully configured
SureSigns VSi monitor.
The main screen contains the following elements:
• The network status icon appears if the monitor is connected to wired or

wireless network. For more information, see “Networked Monitors” on
page 2-20.
• Numeric panes display vital signs measurements as numeric values when
the display is in Vital Signs mode. For more information, see “Vital Signs
Display Mode” on page 2-12.
• The Patient Records Table lists patient records that are saved in the
monitor and appears when the display is in Patient Records mode. For
more information, see “Patient Records Display Mode” on page 2-14.
• The Message area displays short text descriptions of all active alarms.
For more information, see Chapter 4, “Alarms.”
• Menu buttons are used to open menus to change system settings:
– The New Patient button is used to open the New Patient Menu,
where you can enter patient identifiers.
– The System button is used to open the System Menu, where you
can change system settings, save patient records to a USB flash
drive, or view system information. Qualified personnel can access
the password-protected System Admin Menu.
– The Alarms button is used to open the Alarm Settings Menu, where
you can set alarm tone volume.
• The Battery Status pane shows the current charge of the monitor’s
battery. For more information, see “Charging the Battery” on page 2-5.
Basic Operation
Main Screen Display
• The Date/Time pane displays the current time. You can hide the time, as
described in “Changing System Settings” on page 2-15.
• Patient Records buttons are used to view, save, edit, delete, or cancel
changes to patient records. For more information, see
Chapter 3, “Creating a New Patient Record.”
• The scroll bar is used to scroll through patient records when the display is
in Patient Records mode. For more information, see Chapter 3, “Creating
a New Patient Record.”
Vital Signs Display Mode

In Vital Signs mode, the main screen displays vital signs measurements for the
current patient as numeric values. The patient type and patient ID appear at the
top of the screen. If you do not enter a patient ID, the text, ID Unknown, is
displayed. You can highlight a numeric pane to change settings for a specific
parameter.
Basic Operation
Main Screen Display
Network Status Patient Records

icon Patient Type Patient ID buttons
Adult 0009875433
122 98
SYS mmHg SpO2%
DIA
80 80
bpm SpO2%
Numeric
panes
98 37.1
MAP ºC Oral
03:31:00
Message area Menu buttons Battery Status Date/Time pane

pane
Basic Operation
Main Screen Display
Patient Records Display Mode

In Patient Records mode, the main screen displays the patient records table.
You can display all patient records or all records for a specific patient.
If you highlight a record, the patient IDs for the highlighted record appear in a
separate pane at the bottom of the screen.
If you do not enter a patient ID, the text ID Unknown is displayed. You can also
edit or delete patient records. For more information about working with records
in the Patient Records table, see Chapter 3, “Creating a New Patient Record.”
Patient/Type Date Time Pulse NBP SpO2 Temp

0009875433 A 06/21/11 03:20:12 65 SpO2 -- / -- (--) 98 36.8
Scroll Bar
0007363627 A 06/21/11 03:16:44 64 SpO2 -- / -- (--) 98 39.1
0006352516 A 06/21/11 03:12:41 72 SpO2 -- / -- (--) 99 36.9
0008763842 A 06/21/11 03:08:03 60 SpO2 -- / -- (--) 98 37.1
Patient
0006655321 A 06/21/11 03:00:43 80 SpO2 -- / -- (--) 99 36.6 Records
0008764332 A 06/21/11 02:55:11 56 NBP 111/60 (82) 97 37.2 buttons
0008893376 A 06/21/11 02:50:06 77 SpO2 -- / -- (--) 95 37.0
0008873221 A 06/21/11 02:44:32 78 SpO2 -- / -- (--) 98 36.8
0003323876 P 06/21/11 02:40:51 75 SpO2 -- / -- (--) 97 36.9
03:31:00
Battery Date/Time pane

Message area Menu buttons
Status pane
Changing the Display Mode

By default, the main screen is in Vital Signs mode and displays measurements
for the current patient. To switch between display modes, press the Main
Screen key.
Main Screen
key
Basic Operation
Changing System Settings
Tool Tips
When you press the Up/Down key to highlight a button in the main screen, a
description appears, as shown in the following illustration.
Tool Tip pops up for New Patient

New Patient button

The System Menu contains the following options:
• System settings buttons which allow you to change system-wide settings.

• The Save Patient Records button, which allows you to export patient
records to a USB flash drive. For more information, see “Saving Patient
Records to a USB Flash Drive” on page 2-17.
• The System Info button, which displays information about the monitor.
For more information, see “Viewing Monitor Information” on page 2-18.
• The System Admin button, which provides access to the
password-protected System Admin Menu. Only qualified personnel can
access the System Admin Menu.
• The Shutdown button, which allows qualified personnel to shut down the
monitor for maintenance or repair.
To change settings in the System Menu:
Step
1 Press the Up/Down key to highlight the System

button, and then press the Select key.
System button The System Menu appears.
Basic Operation
2 Press the Up/Down key to select one of the following system

settings:
• Date Format — You can change the monitor’s date format.
Options are mm/dd/yyyy and dd/mm/yyyy.
• Display Time — Use this setting to show or hide the time in
the lower right corner of the screen display.
• Default Patient Type — Select a patient type. Each time you
start a new patient, the default patient type is selected.
Options are Adult, Pediatric, and Neonatal.
• Monitor Name — The default monitor name is the monitor
serial number. You can use this field to change the default
name to a more meaningful name. The Monitor Name must
be from 2 to 10 characters long. The name can contain the
uppercase and lowercase letters from A through Z, the
numbers 0 through 9, and the hyphen (-) character. The name
cannot contain spaces. The final character must not be a
hyphen.
Note — A message appears if you enter a monitor name that
contains invalid characters or is already in use on the network.
3 Press the Main Screen key on the front panel to close the menu.
Alternative: Press the Up/Down key to highlight the Main
Screen button, and then press the Select key.
Basic Operation
Saving Patient Records to a USB Flash Drive
Warning Exported patient records contain patient IDs and patient data. Ensure that
the exported data is handled according to your facility’s electronic protected
health information (ePHI) guidelines.
Only authorized personnel should be allowed to view, handle, store, or

transmit patient data.
Use the Save Patient Records button on the System Menu to export patient
data to a USB flash drive. The exported file is a space-delimited .csv file with
the name RecordLog_Monitor Name.csv.
Note — Patient IDs containing non-alphanumeric characters may not display

correctly if viewed in Microsoft Excel®.
Philips recommends using a SanDisk® or Kingston® USB flash drive.
To save patient records to a USB flash drive:
Step
1 Insert a USB flash drive in the USB port on the back of the
monitor.
2 Open the System Menu and press the Up/Down key to highlight
the Save Patient Records button.
Basic Operation
3 Press the Select key to start the export process.

A message indicates that the patient records have been exported.
Note — If the USB flash drive is not detected, ensure that the
drive is completely inserted into the USB port.
4 Press the Main Screen key to close the menu.

Viewing Monitor Information

The System Information window displays the following information about the
monitor:
• Serial Number — The monitor’s serial number, which also appears on the
back of the monitor. The serial number is configured in the factory.
• Hardware ID — The version for each of the following hardware
components:
<Main board> - 0 - <FPGA ID>
• Software Version — The software version installed on the monitor.
• LAN MAC Address — The unique MAC address assigned to the monitor.
The MAC address is configured in the factory.
• LAN IP Address — The IP address currently assigned to the monitor.
• WLAN MAC Address — The unique wireless MAC address assigned to
the monitor. The MAC address is configured in the factory.
• WLAN IP Address — The wireless IP address currently assigned to the
monitor.
• Language — The language currently configured on the monitor.
• Configuration — The monitor type and the parameters installed in the
monitor.
Basic Operation
Note — The IP addresses are 0.0.0.0 (all zeros) until a network connection is
established.
To view the System Information window:
Step
1 Press the Up/Down key to highlight the System button, and then
press the Select key.
The System Menu appears. Current settings are displayed.
2 Press the Up/Down key to highlight the System Info button, and
then press the Select key.
The System Information window appears.
3 Press the Main Screen key on the front panel to close the
window.
Alternative: Press the Up/Down key to highlight the Return
button, and then press the Select key to close the window.
Basic Operation
Networked Monitors
Networked Monitors
You can connect the VSi monitor to a network by using a standard wired LAN
connection, a wireless LAN interface, or a serial interface adapter. A networked
monitor can export patient records from the monitor to an access point or router,
and then forward the data to an HL7 interface server or EHR system.
If your monitor is networked, the records in the Patient Records table change
from white to green after they have been exported successfully. Records that are
not exported successfully change from white to blue, and a message indicating
the reason the record was rejected may appear on the screen.
Caution If you are using the optional serial interface adapter to export data and you
disconnect the adapter to move the monitor to a different location, make
sure the black sheath completely covers the RS-232 connector after you
reconnect the cable.
Verifying the Network Connection

The network status icon, which appears in the upper left corner of the main
screen, indicates the status of the monitor’s network connection.
If the monitor detects a LAN IP address and a WLAN IP address, the monitor
first selects LAN for network communication.
Icon Connection Status
The monitor is currently connected to a wireless network. The

number of bars displayed indicates the signal strength. Four
bars indicates the strongest signal and no bars indicates a very
weak signal.
The monitor is currently connected to a wired network.
Basic Operation
Networked Monitors
Icon Connection Status
No icon If the pane is empty, the monitor is not connected to a wired or

wireless network.
Synchronizing Date and Time

Your system administrator can configure your networked monitor to
automatically synchronize the clock on the monitor to the clock on your hospital
EHR server or HL7 interface server.
If the clock on the monitor differs by more than five seconds from the clock on
the server, the monitor will automatically adjust the date and time, unless:
• A patient record is open; the time change will occur after the record is
closed.
• An NBP or temperature measurement is in progress; the time change will
occur when the measurement is complete.
If the time difference is greater than 30 seconds, the following occurs:
• A low-priority technical alarm message, Date/Time Adjusted, appears

and flashes in the monitor’s message area.
Note — No audible alarm sounds with the Date/Time Adjusted alarm

message. To clear the message, press the Alarm Silence key.
• A horizontal blue line appears in the Patient Records table to indicate

when the date/time adjustment occurred.
Note — If the system clock on the server or EHR system adjusts automatically
for daylight saving time, the monitor will synchronize with the server clock. If
the system clock on the server does not adjust automatically for daylight saving
time, you must manually change the time on the monitor.
Basic Operation
Using the Monitor Safely

All of the patient applied parts on the SureSigns VSi vital signs
monitor are classified as type CF, which specifies their degree of
protection against electrical shock. All are rated as defibrillator
proof, as indicated by the heart symbol on the side panel.
This monitor is suitable for use in the presence of electrosurgery.
SureSigns VSi vital signs monitors conform to CISPR 11. SureSigns VSi vital
signs monitors are suitable for use in all establishments except domestic
establishments and those directly connected to the public low-voltage power
supply network that supplies buildings used for domestic purposes.
Ensure that the monitor is in working condition before clinical use. If the
accuracy of any measurement does not seem reasonable, first check the patient’s
vital signs by alternative means and then with the monitor to make sure it is
working properly. Always verify that the monitor’s settings match your intended
selections.
If you connect the monitor to any instrument, verify proper operation before
clinical use. Refer to the instrument’s Instructions for Use for full instructions.
Accessory equipment connected to the monitor’s data interface must be certified

according to IEC Standard 60950 for data-processing equipment or IEC
Standard 60601-1 for electromedical equipment. All combinations of equipment
must be in compliance with IEC Standard 60601-1-1 systems requirements.
Anyone who connects additional equipment to the signal input port or signal
output port configures a medical system and is therefore responsible to ensure
that the system complies with the requirements of system standard IEC Standard
60601-1-1. If in doubt, contact the Philips Customer Care Center or your local
Philips representative.
The monitor and its accessories must be tested by qualified service personnel at
regular intervals to ensure that performance has not been degraded by aging or
environmental conditions. Periodic performance verification tests must be
performed, as described in the SureSigns VS2+ and VSi Service Guide.
Basic Operation
Warning This equipment complies with FCC radiation exposure limits set forth for an
uncontrolled environment. This equipment should be installed and operated
with a minimum distance of 20 cm between the monitor and any person.
Explosion Hazard. Equipment not suitable for use in the presence of a

flammable anaesthetic mixture with air or oxygen or nitrous oxide. Oxygen
concentrations must be <25% and partial pressure <27.5 kPa when no other
oxidants are present.
Electric shock hazard. Covers should be removed only by qualified service

personnel. There are no user-serviceable parts inside.
Do not touch the patient, or table, or instruments during defibrillation.
Measurement accuracy may decrease temporarily while performing

electro-surgery or defibrillation. This does not affect patient or equipment
safety.
Do not open the monitor or attempt to change the battery. If you suspect a
problem with parts within the monitor, contact your biomedical engineer or
local Philips Representative.
Before you begin monitoring, make sure that the correct patient type is
selected. The monitor’s default initial cuff inflation pressure is based on the
selected patient type.
Route patient cabling to reduce the possibility of patient entanglement or

strangulation. To reduce this risk, Philips recommends the use of the cable
management kit. For more information, see “Miscellaneous Accessories” on
page 10-10.
Do not place the monitor in any position that might cause it to fall on the
patient. Do not lift the monitor by the AC power cord or patient
connections.
Do not use the monitor on more than one patient at a time.
To ensure patient electrical isolation, connect only to other equipment that

provides patient electrical isolation. Use only unshielded network cables.
Use only grounded power cords (three-wire power cords with grounded
plugs) and grounded electrical outlets. Never adapt a grounded plug to fit an
ungrounded outlet by removing the ground prong or ground clip.
Do not use extension cords to connect the monitor to electrical outlets.
Basic Operation
LAN cables must meet all local electrical requirements.
Do not use the monitor or SpO2 sensors during magnetic resonance imaging
(MRI) scanning. Induced current could potentially cause burns. The
monitor may affect the MRI image, and the MRI unit may affect the
accuracy of the monitor’s measurements.
If multiple instruments are interconnected or if multiple instruments are

connected to a patient, the sum of the leakage currents may exceed the limits
given in IEC/EN 60601-1. Consult your service personnel.
Do not connect this monitor to any equipment or device, other than those
specified in this manual.
Sterilization is not recommended for this monitor, accessories or supplies,

unless otherwise indicated in the Instructions for Use that accompany the
accessories and supplies.
Use only approved accessories with the SureSigns VSi monitor. The use of
unapproved accessories can diminish monitor performance or safety.
Consult the Instructions for Use that accompany the accessories.
Electromagnetic interference may cause disruption of performance. Protect

the monitor from sources of intense electromagnetic radiation. This device is
designed to provide resistance to electromagnetic interference; however,
because of the proliferation of radio-frequency transmitting equipment and
other sources of electrical noise (such as cellular phones, mobile two-way
radios, and electrical appliances) in the healthcare and home environments,
it is possible that high levels of such interference due to close proximity or
strength of a source, may result in disruption of performance of this device.
Disruption may be evidenced by erratic readings, cessation of operation or
other incorrect functioning. If this occurs, the site of use should be surveyed
to determine the source of this disruption, and actions taken to eliminate the
source. If you need assistance, contact the Philips Customer Care Center or
your local Philips Representative.
Disposing of the monitor: To avoid contaminating or infecting personnel, the

environment or other equipment, make sure you disinfect and
decontaminate the monitor appropriately before disposing of it in
accordance with your country’s laws for equipment containing electrical
and electronic parts. For disposal of parts and accessories such as
thermometers, where not otherwise specified, follow local regulations
regarding disposal of hospital waste.
Before disposing of a SureSigns VSi monitor, delete all patient information.

For instructions on deleting patient data, see the SureSigns VS2+ and VSi
Service Guide.
Basic Operation
To protect confidential patient information, follow these guidelines:
• Do not leave the monitor unattended.
• Ask your system administrator to activate the Auto Suspend option,

which causes the display to go blank after a specified amount of time if
there is no user interaction with the monitor.
• Set the main screen to Vital Signs mode to hide patient records. For
more information, see “Main Screen Display” on page 2-11.
Access to the System Admin Menu is restricted. It is password-protected to

ensure that only system administrators, biomedical engineers, or other
qualified service personnel can change the system-wide settings on the
monitor.
Basic Operation
Basic Operation
3
Creating a New Patient Record
This chapter describes how to save vital signs measurements to a patient record
and how to work with records in the Patient Records table.
The Patient Records Table

The Patient Records table can store and display up to 50 records in
chronological order. The newest record appears at the top of the list and the
oldest one at the bottom of the list. If you try to enter more than 50 records, the
oldest entry is deleted from the database, and the new one is added.

0009875433 A 06/21/11 03:20:12 65 SpO2 -- / -- (--) 98 36.8
0007363627 A 06/21/11 03:16:44 64 SpO2 -- / -- (--) 98 39.1
Patient 0006352516 A 06/21/11 03:12:41 72 SpO2 -- / -- (--) 99 36.9
Records 0008763842 A 06/21/11 03:08:03 60 SpO2 -- / -- (--) 98 37.1
Table
0006655321 A 06/21/11 03:00:43 80 SpO2 -- / -- (--) 99 36.6
0008764332 A 06/21/11 02:55:11 56 NBP 111/60 (82) 97 37.2
0008893376 A 06/21/11 02:50:06 77 SpO2 -- / -- (--) 95 37.0
0008873221 A 06/21/11 02:44:32 78 SpO2 -- / -- (--) 98 36.8
0003323876 P 06/21/11 02:40:51 75 SpO2 -- / -- (--) 97 36.9
03:31:00
Each entry contains a patient ID (or ID Unknown if you do not enter an ID), the
patient type, date and time, and up to four measurements. The Time column
shows the time at which the last measurement completed. A question mark (-?-)
in the record indicates an invalid measurement, and dashes (--) indicate that the
parameter was not measured.

Caution If your patient records are exported over a network, you must enter a
patient ID and any additional information required by your facility.
Note — If your monitor is networked, the records in the Patient Records table
change from white to green after they have been exported successfully. Records
that are not exported successfully change from white to blue, and a message
indicating the reason the record was rejected may appear on the screen.
Patient Records Buttons

The following table describes the buttons that appear to the right of the Patient
Records table. These buttons change, depending on whether the topmost record
is open or closed.
Button
Button Description
Name
Delete If the record is closed, select the Delete button to
delete the saved record.
Edit If the record is closed, select the Edit button to edit

the record.
Cancel If the record is open, select the Cancel button to

discard the record before it is saved to the
database.
This button also appears in Vital Signs mode if the
record is open.
Save If the record is open, select the Save button to save
the open record.
This button also appears in Vital Signs mode if the
record is open.

Patient ID Overview
Button
Button Description
Name
View Select the View Records button to toggle between

Records View Patient mode and View All mode. Select
View Patient mode to view all records for a
specific patient. Select View All mode to view all
records in the Patient Records table.
See the procedures later in this chapter for detailed information about using
these buttons.
Patient ID Overview
Your system administrator configures your SureSigns VSi monitor to display
any or all of the following patient ID input fields in the New Patient Menu:
• Medical Record Number (MRN): A unique number used to track and

identify a patient. Maximum length is 20 characters.
• Transaction ID: Also known as a visit ID, the transaction ID is a unique
number used to track a single patient visit. Maximum length is
20 characters.
• First Name, Middle Name, Last Name: The patient’s name. Maximum
length is 15 characters for each name field.
• Location ID: Typically, a description of the physical location of the
monitor, for example a room number. Maximum length is 12 characters.
Note — If the monitor remains in one location, your system administrator

can configure a default Location ID so that you do not have to manually
enter a Location ID each time you create a new patient.
• Operator ID: The ID of the person using the monitor to measure a

patient’s vital signs. Maximum length is 12 characters.

Entering Patient IDs and Saving Measurements
The available patient ID input fields can only be changed by your system
administrator in the password-protected System Admin Menu. In this guide, the
term patient ID is used to refer to any of the patient ID types listed above.
Your system administrator also specifies whether an ID field is required. An

asterisk appears next to all required patient IDs in the New Patient Menu. You
cannot save the patient record until all required input fields are complete.
When you scroll through the Patient Records table, the display splits into two
panes. The top pane displays the patient records stored on the monitor, and the
bottom pane displays all of the patient IDs for the highlighted record.

This section describes how to enter a new patient ID, take a set of vital signs
measurements, and save the measurements to the Patient Records table.
Warning The procedures in this section instruct you to enter patient IDs in the New
Patient Menu before taking the patient’s vital signs measurements. Follow
the steps in the order they are written. Taking measurements before entering
patient IDs may result in sending measurements for the wrong patient ID to
the EHR.
Caution Before you begin monitoring, make sure that the correct patient type is
selected. The monitor’s initial cuff inflation pressures are based on the
Your system administrator configures the method for entering patient IDs in the
password-protected System Admin Menu. You can enter a patient ID by using
one of the following methods:
• The on-screen keyboard. See “Entering Patient IDs Using the On-screen
Keyboard” on page 3-5.

• A barcode scanner that reads each patient ID one at a time. The monitor
prompts you to scan the barcode for each patient ID field. See “Entering
Patient IDs by Scanning Individual Barcodes” on page 3-7.
• A programmed barcode scanner. When you scan the barcode, the monitor
automatically enters the scanned data in the patient ID fields. See
“Entering Patient IDs with a Programmed Barcode Scanner” on
page 3-10.
Entering Patient IDs Using the On-screen Keyboard

To manually enter patient identifiers and save vital signs measurements:
Step
1 Press the Up/Down key to highlight the New

Patient button, and then press the Select key.
New Patient The New Patient Menu appears.

button
2 If the patient type is correct, go to step 3. To change the patient

type, press the Up/Down key to highlight the Patient Type field,
and then press the Select key. Press the Up/Down key to select a
patient type. The choices are:
• Adult
• Pediatric
• Neonatal
Press the Select key again to save the selected patient type.

3 Press the Up/Down key to highlight an ID field, and then press

the Select key. (An asterisk appears next to every required field.)
A keyboard appears.
11 2 3 4 5 6 7 8 9 0 - =
q1 w e r t y u i o p [ ]
a1 s d f g h j k l ; ‘ \
z1 x c v b n m , . / Back
Shift OK Cancel
4 To enter an ID:
• Press the Up/Down key to highlight a character, and then
press the Select key after each selection.
• If you enter an incorrect character, use the Back button to
erase the character or use the Cancel button to start over.
• Use the Shift button to access uppercase characters and
additional special characters.
When you are done entering the ID, press the Up/Down key to
highlight the OK button, and then press the Select key to return
to the New Patient Menu.
5 Enter IDs in any additional patient ID fields.
6 Press the Up/Down key to highlight the OK button, and then

press the Select key to close the New Patient Menu.
Note — The OK button is unavailable until all required patient
ID fields are complete.
A new row appears at the top of the Patient Records table. The
new row contains the patient ID and the patient type. The text in
the new row is red.

7 Begin taking the vital signs measurements on the new patient.

When all measurements are complete, the values appear in the
new record.
8 Do one of the following:

• To save the record, press the Up/Down key to highlight the
Save button, and then press the Select key. After the
information is saved, the text changes from red to black.
• To discard the record, press the Up/Down key to highlight
the Cancel button, and then press the Select key. The record
is not saved to the Patient Records table.
Note — If you do not select the Save button or Cancel button,
the record remains open for a time interval configured by your
system administrator. After the specified time elapses, the
monitor automatically saves the measurements and closes the
record.
Entering Patient IDs by Scanning Individual Barcodes

If your barcode scanner reads individual barcodes one at a time, the monitor
prompts you to scan each patient ID. The scanned information is transferred to
the highlighted patient ID field on the monitor.
Before you begin scanning, be sure that you are familiar with the barcodes used
at your facility. When the monitor prompts you to scan a patient ID, you need to
know which barcode corresponds with the highlighted ID field.
Note — If the barcode scanner cannot read the barcode or does not function
correctly, you can unplug the scanner and use the on-screen keyboard to enter
patient IDs. For more information, see “Entering Patient IDs Using the
On-screen Keyboard” on page 3-5.

To scan individual patient ID barcodes and save vital signs measurements:
Step
1 Hold the scanner over the barcode, pull the trigger, and center the
beam on the barcode.
Note — To get a proper read:
• Hold the scanner closer to small barcodes and farther away

from large barcodes.
• Ensure that the patient’s wrist band is lying flat and the
barcode is visible.
• Ensure that the barcode is not damaged.
• Pause for at least one second between scans.
The New Patient Menu appears and the first enabled patient ID
field is highlighted.
Alternative: Press the Up/Down key to highlight the New
Patient button, and then press the Select key to open the New
Patient Menu.
2 Verify that the correct patient type (Adult, Pediatric, or

Neonatal) is selected. If the patient type is correct, go to step 4.
If necessary, change the patient type by pressing the Up/Down
key to highlight the Patient Type field, and then press the Select
key. Select the appropriate patient type and press the Select key
again to save your selection.
3 Press the Up/Down key to highlight the first enabled patient ID

field. A message at the bottom of the screen prompts you to scan
the patient ID.
The scanned ID appears in the corresponding patient ID field, and
the next enabled field is highlighted. A message at the bottom of
the screen prompts you to scan the next patient ID.

5 Repeat step 4 to scan each barcode.

Notes
• If your system administrator has configured a default
Location ID, the monitor does not prompt you to scan the
Location ID and skips to the next patient ID field. You can
change the default Location ID by rotating the wheel to
highlight the Location ID field, and scan the Location ID
barcode again.
• The OK button is unavailable until all required patient ID
fields are complete.
6 Verify that the scanned information is accurate.
7 Press the Select key to close the New Patient Menu.

The main screen returns to the previously selected display mode.

new record.

• To discard the record, press the Up/Down key to highlight
the Cancel button, and then press the Select key. The record
record.

Entering Patient IDs with a Programmed Barcode Scanner

If your barcode scanner is programmed, the scanned information is
automatically transferred to the corresponding patient ID fields on the monitor.
Before you begin scanning, make sure you are familiar with the barcodes used at
your facility.
correctly, you can unplug the scanner and use the on-screen keyboard to enter
patient IDs. For more information, see “Entering Patient IDs Using the
To use a programmed barcode scanner to scan patient IDs:
Step
Note — To get a proper read:
• Hold the scanner closer to small barcodes and farther away

from large barcodes.
• Ensure that the patient’s wrist band is lying flat and the
barcode is visible.
• Ensure that the barcode is not damaged.
The New Patient Menu appears and the scanned patient IDs
appear in the corresponding patient ID fields.
Alternative: Press the Up/Down key to highlight the New
Patient button, and then press the Select key to open the New
Patient Menu.

2 Verify that the correct patient type (Adult, Pediatric, or

Neonatal) is selected. If the patient type is correct, go to step 3.
If necessary, change the patient type by pressing the Up/Down
key to highlight the Patient Type field, and then press the Select
key. Select the appropriate patient type and press the Select key
again to save your selection.
3 If necessary, hold the scanner over the next barcode, pull the
trigger, and center the beam on the barcode.
The scanned identifiers appear in the corresponding patient ID
fields.
4 Verify that the scanned information is accurate.

The main screen returns to the previously selected display mode.

new record.

• To discard the record, select the Cancel button. The record
record.

Saving Measurements Without a Patient ID
Caution Before you begin monitoring, make sure that the correct patient type is
selected. The monitor’s initial cuff inflation pressures are based on the
This section describes how to take a set of vital signs measurements, and save
the measurements to the Patient Records table, without entering a patient ID. If
you save a record with an unknown ID and then decide to assign an ID, you can
edit the ID, as described in “Editing a Patient Record” on page 3-18.
To save vital signs measurements without a patient ID:
Step
1 Verify that the correct patient type (Adult, Pediatric, or Neonatal)

is selected. The current patient type appears in the top of the
Patient Records pane.
If the patient type is correct, go to step 5.
2 To change the patient type, press the Up/Down key

on the front panel to select the New Patient button,
and then press the Select key to open the New
New Patient
Patient Menu.
button
3 Press the Up/Down key to highlight the Patient Type field, and
then press the Select key. Press the Up/Down key to select a
patient type.
Press the Select key again to save the selected patient type.

4 Press the Up/Down key to highlight the OK button, and then press
the Select key to close the New Patient Menu.
A new row appears at the top of the Patient Records table. The
text in the new row is red.

new record.

• To discard the record, select the Cancel button. The record
system administrator. After the specified time elapses, the monitor
automatically saves the measurements and closes the record.

Viewing Records in the Patient Records Table

The Patient Records table displays up to nine records at one time. You can use
the scroll bar to the right of the Patient Records table to scroll through all saved
records. You can also view all records for a specific patient.
When you scroll through the Patient Records table, the display splits into two
panes. The top pane displays the patient records stored on the monitor, and the
bottom pane displays all of the patient identifiers for the highlighted patient
record.
The View Records button in the lower right corner of the Patient Records screen
toggles between two modes: View Patient and View All. Use View Patient mode
View Records to view all records for a specific patient. Use View All mode to view all records
button in the Patient Records table.
Note — When you highlight the View Records button, the tool tip displays the
opposite mode: if you select View Patient, the label changes to View All; if you
select View All, the label changes to View Patient.
To scroll through all of the records:
Step
1 Press the Up/Down key to highlight the View Records button,

and select View All mode.
2 Press the Up/Down key to highlight the scroll bar to the right of
the Patient Records table, and then press the Select key.
The scroll bar changes from gray to red to indicate that it is
active.
3 Press the Up/Down key to scroll through all of the records.
4 To exit scrolling mode, press the Select key.

Note — If you take a new measurement while scrolling mode is active, the
monitor automatically scrolls to the top and exits scrolling mode.
To view all records for a specific patient:
Step
1 Press the Up/Down key to highlight the scroll bar to the right of
the Patient Records table, and then press the Select key.
The scroll bar changes from gray to red to indicate that it is
active.
2 Press the Up/Down key to highlight the desired patient ID, and
3 Press the Up/Down key to highlight the View Records button,

and then select View Patient mode.
The Patient Records table displays all records for the selected
patient.
4 To exit this view, press the Select key again.

Selecting an Existing Patient ID

After a patient ID has been saved to the Patient Records database, you can
retrieve the ID if you want to take another set of measurements on the same
patient. You do not have to re-enter the ID.
Notes
• If you are using a barcode scanner to enter patient IDs, you can
select an existing patient ID from the patient ID list by unplugging
the scanner and using the on-screen keyboard.
• To save a new patient ID, you must take an associated set of vital
signs measurements and save them. If you enter a new ID but do
not save measurements for the new ID, the ID is not saved to the
database.
To add a new set of measurements to an existing patient ID:
Step
1 Press the Up/Down key to highlight the New

Patient button, and then press the Select key.
New Patient The New Patient Menu appears.
button
2 Press the Up/Down key to highlight the Select Patient ID from

List button, and then press the Select key.
The list of current patient IDs appears.
3 To change the sort order of the list, press the Up/Down key to
highlight the List Sorted By button, and then press the Select
key.
4 Press the Up/Down key to highlight the list, and then press the
Select key.

5 Press the Up/Down key to select a patient ID from the list, and

press the Select key to return to the New Patient Menu.

8 Begin taking a new set of measurements on the patient.
9 After taking the new set of measurements, press the Up/Down

key to highlight the Save button, and then press the Select key
to save the measurements.

Editing a Patient Record

If you saved a patient record with an incorrect patient ID or you want to change
ID Unknown to an actual patient ID, you can edit the patient ID as described in
the following procedures.
Notes
• After you enter a patient ID and then exit the New Patient Menu,
you can no longer change the Patient Type.
• After a record has been exported successfully, it can no longer be
edited. Records that are exported successfully appear green in the
Patient Records table. Records that are not exported successfully
change from white to blue, and a message indicating the reason the
record was rejected may appear on the screen.
The method for editing patient IDs depends on the method used to enter patient
IDs. You can edit a patient record by using one of the following methods:
• The on-screen keyboard. See “Editing a Patient Record Using the

• A barcode scanner that reads each patient ID barcode one at a time. See
“Editing a Patient Record by Scanning Individual Barcodes” on
page 3-21.
• A programmed barcode scanner. See “Editing a Patient Record Using a
Programmed Barcode Scanner” on page 3-22.

Editing a Patient Record Using the On-screen Keyboard

To manually edit a patient record:
Step
1 Press the Up/Down key to highlight the scroll bar, and then
2 Press the Up/Down key to highlight the desired patient record,

and then press the Select key.
3 Press the Up/Down key to highlight the Edit

Edit button
The Edit Patient Menu appears.
• To edit the selected patient ID, continue with step 4.
• To replace the selected patient ID with a patient ID from a
list of saved IDs:
– Press the Up/Down key to highlight the Select
Patient ID from List table, and then press the Select
key.
– Press the Up/Down key to select a patient from the
list, and then press the Select key.
The selected patient ID appears in the patient ID field.

4 To edit the selected patient ID:

• Press the Up/Down key to highlight the desired field, and
A keyboard appears.
11 2 3 4 5 6 7 8 9 0 - =
q1 w e r t y u i o p [ ]
a1 s d f g h j k l ; ‘ \
z1 x c v b n m , . / Back
Shift OK Cancel
• Press the Up/Down key to highlight the Back button, and

then press the Select key to erase the incorrect ID.
• Enter a new ID by pressing the Up/Down key to highlight
each character, and pressing the Select key after each
selection.
Use the Shift button to access uppercase characters and
additional special characters.
• When you are done entering the new ID, press the
Up/Down key to select the OK button, and then press the
Select key.

press the Select key to close the Edit Patient Menu.
A message prompts you to confirm the changes.
6 Press the Up/Down key to highlight the Yes button, and then
press the Select key to save the changes.

Editing a Patient Record by Scanning Individual Barcodes
correctly, you can unplug the scanner and use the on-screen keyboard to edit
patient IDs. For more information, see “Editing a Patient Record Using the
To edit a patient record by scanning individual patient ID barcodes one at a

time:
Step


Edit button The Edit Patient Menu appears.
The first enabled field is highlighted and a message
at the bottom of the screen prompts you to scan the
corresponding patient ID.
4 Press the Up/Down key to highlight the desired patient ID input

field.
5 Scan the new barcode.

The new ID replaces the old one in the ID field, and the next
enabled ID field is highlighted.
6 If necessary, repeat step 4 and step 5 to edit other patient ID

fields.

7 When you are done scanning the IDs, press the Up/Down key
to select the OK button, and then press the Select key.
A confirmation window opens.
press the Select key to close the Edit Patient Menu and save
the changes.
Editing a Patient Record Using a Programmed Barcode Scanner
correctly, you can unplug the scanner and use the on-screen keyboard to edit
patient IDs. For more information, see “Editing a Patient Record Using the
To edit a patient record with a programmed barcode scanner:
Step


Edit button The Edit Patient Menu appears.

Deleting Patient Records
4 Hold the scanner over the barcode, pull the trigger, and center
the beam on the barcode for the highlighted patient ID.
The barcode will fill in the corresponding ID fields on the
monitor.
5 If necessary, repeat step 4 to scan other patient ID fields.
6 When you are done scanning the IDs, press the Up/Down key
to highlight the OK button, and then press the Select key.
press the Select key to close the Edit Patient Menu and save the
changes.

Use the Delete button to delete:
• One patient record

• All records for a specific patient
• All records in the Patient Records database
Note — If you delete all records for a specific patient, the patient ID for the
deleted patient is also removed from the Patient Records database.
The options that appear in the Delete Records Menu depend on which View
mode is active.
• If View Patient mode is enabled, you can delete a specific patient record
or all records for the selected patient.

• If View All mode is enabled, you can delete a specific patient record, all
records for a specific patient, or all records in the Patient Records
database.
Note — When you highlight the View Records button, the tool tip displays the
opposite mode: if you select View Patient, the label changes to View All;
likewise, if you select View All, the label changes to View Patient.
Deleting Specific Patient Records

To delete one patient record or all records for a specific patient:
Step
1 If necessary, press the Main Screen key to display

the Patient Records table.
Main Screen
key
2 Press the Up/Down key to highlight the scroll bar, and then press
the Select key.
3 Press the Up/Down key to highlight the desired patient ID, and
4 Press the Up/Down key to highlight the View Patient button, and
then press the Select key to display all saved records for the
selected patient.
5 Press the Up/Down key to highlight the Delete

Delete button The Delete Records Menu appears. The patient
ID and patient type appear in the top of the menu.

6 Press the Up/Down key to highlight one of the following options,

and then press the Select key to select the check box:
• Delete the selected patient record
• Delete all records for selected patient

The patient record(s) are deleted.
Deleting All Patient Records

To delete all records in the Patient Records database:
Step
1 If necessary, press the Main Screen key to display

the Patient Records table.
Main Screen
key
2 Make sure View All mode is enabled.
3 Press the Up/Down key to highlight the Delete

Delete button The Delete Records Menu appears.
4 Press the Up/Down key to highlight the Delete all records

option, and then press the Select key to select the check box.


All patient records are deleted.

4
Alarms
Alarms alert you to conditions that need immediate attention. The VSi monitor
supports only technical alarms; it does not support physiological alarms.
Alarms on the VSi monitor are divided into two severity levels:
• High — Indicates a potentially life-threatening situation. A high priority

alarm requires an immediate response from the clinician.
• Low — Most low-priority alarms indicate a problem with the monitor that
needs to be corrected; for example, an alarm indicating that the NBP cuff
is loose.
When an alarm event occurs, the monitor issues both a visual and audible alarm.
Visual Alarms
The SureSigns VSi monitor uses flashing numeric values and alarm messages to
indicate an alarm.
Flashing Numeric Values

When an alarm occurs, the text and the background of the numeric pane change
colors and start flashing, as described in the following table.
Alarm Priority Background Colors
High Flashing red and white
Low Blue, no flashing
Alarms
Audible Alarms
Alarm Messages
Alarm messages appear in the message pane in the bottom left side of the screen.
Alarm messages use the same colors as the numeric panes described above. For
a complete list of alarm messages and descriptions of each message, see
Appendix A, “Alarm Specifications.”
High-priority alarm messages preempt lower priority alarm messages. After the
high-priority alarm has been resolved, the lower priority alarm message appears.
If multiple alarms of the same priority occur at the same time, the alarm
messages rotate every 1.5 seconds.
Alarms Off Symbol

The Alarms Off symbol is displayed in each measurement’s numeric pane to
indicate that the VSi monitor does not support physiological alarms.
Audible Alarms
The alarm sound and interval depend on the alarm priority. High priority alarms
beep at a faster rate and sound different than low priority alarms.
You can change the following audible alarm settings:
• Alarm volume — You can increase or decrease the alarm volume. See
“Adjusting the Alarm Volume” on page 4-5.
• Silence alarms — You can pause alarms or silence them indefinitely. See
“Silencing Alarms” on page 4-6.
• Alarm tones — The SureSigns VSi offers two sets of alarm tones. Only
authorized personnel can change the alarm tone in the password-protected
System Admin Menu.
Alarms
Audible Alarms
To verify that the speaker is working at any time, perform the procedure in
“Testing Alarms” on page 4-9.
Warning Never pause an audible alarm or decrease the alarm volume if it may
compromise patient safety.
Do not rely exclusively on the audible alarm system for patient monitoring.
The most reliable method of patient monitoring requires correct operation
of the monitor and close observation of the patient.
Speaker Malfunction Notification

If the speaker malfunctions, a flashing red/white box with the AUDIO FAILED
message appears in the top section of the main screen and the Speaker Malfunc
message appears in the message pane.
For information about manually testing the speaker, see “Testing Alarms” on
page 4-9.
AUDIO FAILED
message
AUDIO FAILED
0009875433 A 06/21/11 03:20:12 65 SpO2 -- / -- (--) 98 36.8
0007363627 A 06/21/11 03:16:44 64 SpO2 -- / -- (--) 98 39.1
0006352516 A 06/21/11 03:12:41 72 SpO2 -- / -- (--) 99 36.9
0008763842 A 06/21/11 03:08:03 60 SpO2 -- / -- (--) 98 37.1
0006655321 A 06/21/11 03:00:43 80 SpO2 -- / -- (--) 99 36.6
0008764332 A 06/21/11 02:55:11 56 NBP 111/60 (82) 97 37.2
0008893376 A 06/21/11 02:50:06 77 SpO2 -- / -- (--) 95 37.0
0008873221 A 06/21/11 02:44:32 78 SpO2 -- / -- (--) 98 36.8
Speaker Malfunc
message 0003323876 P 06/21/11 02:40:51 75 SpO2 -- / -- (--) 97 36.9
Speaker Malfunc 03:31:00
Alarms
Audible Alarms
Warning Audible alarms do not occur when the AUDIO FAILED message is
displayed. If this message appears, do not use the monitor and contact your
system administrator for repair.
Latched and Non-Latched Alarms

When a non-latched alarm occurs, the alarm stops when the condition that
triggered the alarm ends. For example, if a cable becomes disconnected, the
alarm ends when the cable is reconnected. Most alarms are non-latched.
A latched alarm continues even after the condition that caused the alarm has
resolved itself. For example, if an NBP Overpressure alarm occurs and the NBP
cuff returns to normal, the alarm will continue to sound to notify you of the
event.
The following alarms are always latched:

• NBP Overpressure
• Loss of Monitoring
Alarms
Adjusting the Alarm Volume
Adjusting the Alarm Volume
Note — Your system administrator can set a minimum alarm volume, which
prevents you from setting the volume below the specified level.
To increase or decrease the alarm volume:
Step
1 Press the Up/Down key to highlight the Alarms

button at the bottom of the screen, and then press
the Select key.
Alarms button
The Alarm Settings Menu appears.
2 Press the Up/Down key to highlight the Alarm Tone Volume

option.
3 Press the Select key, and then press the Up/Down key to increase
or decrease the volume.
4 Press the Select key again.

The new alarm volume takes effect immediately.
Alternative: Press the Up/Down key to highlight the Return
button, and then press the Select key to return to the Alarm
Settings Menu.
Alarms
Silencing Alarms
Silencing Alarms
You can silence alarms by pressing the Alarm Silence key on the front panel of
the monitor.
When an alarm occurs and you press the Alarm Silence key once, the monitor
Alarm
Silence key responds in one of the following ways:
• For SpO2 technical alarms (such as SpO2 No Sensor) and a Low Batt
alarm, the audible alarm is silenced and visual alarm indicators continue
to flash until the error condition is corrected.
• For NBP technical alarms (such as NBP Loose Cuff) and temperature
technical alarms (such as Temp Probe Error), the audible alarm is
silenced and visual alarm indicators are cleared.
• For an Extreme Low Batt alarm, the audible alarm is silenced and visual
alarm indicators continue to flash. The audible alarm resumes after
60 seconds.
For a description of the technical alarm messages, see Appendix A, “Alarm
Specifications.”
Alarms
Silencing Alarms
Audio Pause Mode

If you press the Alarm Silence key twice quickly, the monitor enters Audio
Pause mode. All audible alarms are silenced for one of the following pre-defined
time intervals: 30, 60, 90, 120, or 180 seconds. The time interval is configured
by your system administrator in the password-protected System Admin Menu.
During Audio Pause mode, a white box with the AUDIO PAUSED message
appears at the top of the main screen and a timer shows the amount of time
remaining until the Audio Pause mode ends.
Audio Paused
message
Adult 0009875433 AUDIO PAUSED 1:37
122 98
SYS mmHg SpO2%
DIA
80 80
bpm SpO2%
98 37.1
MAP Oral
ºC
03:31:00
To end Audio Pause mode, press the Alarm Silence key.
Alarms
Silencing Alarms
Audio Off Mode
Note — If your system administrator has changed the Allow Audio Off setting
in the password-protected System Admin Menu, Audio Off mode is disabled.
If you press and hold the Alarm Silence key for two seconds, the monitor enters
Audio Off mode. Audible alarms are silenced, and a red box with the AUDIO
OFF message appears at the top of the main screen.
Audio Off
message
Adult 0009875433 AUDIO OFF

SYS mmHg SpO2%
122 98
85 80
DIA bpm SpO2%
98 37.1
MAP ºC Oral
03:31:00
To end Audio Off mode, press the Alarm Silence key.
Alarms
Testing Alarms
Testing Alarms
To verify that the audible alarm system is working:
Step
1 Connect the NBP hose to the NBP input connector, but do not
place the cuff on your arm.
2 Press the NBP key on the front panel.
NBP key
3 Check that the NBP Timeout or NBP Loose Cuff message

appears and an alarm tone sounds.
Nurse Call System Alarms

A nurse call signal reflects the audio output of the monitor: if the monitor is
sounding an alarm, the nurse call system is signaling.
If your monitor is connected to a nurse call system, note the following:
• When an audible alarm is silenced (Audio Pause or Audio Off) at the

bedside unit, the nurse call system will not alarm.
• Your system administrator can change the alarm priority level for the
nurse call signal. For example, if the priority level is set to high in the
password-protected System Admin Menu, only high-priority alarms will
sound on the nurse call system.
Alarms
Alarms Safety Information
Alarms Safety Information
Caution The alarm volume should be loud enough to be heard within a room or
through an open door. Set the volume based on the environment and
ambient noise levels.
For visual alarms, the side-to-side viewing angle of the display is
approximately ±30 degrees relative to normal viewing.
The Alarms Off symbol in each measurement’s numeric pane indicates that
the SureSigns VSi monitor does not support physiological alarms.
Alarms
5
Monitoring SpO2
The SureSigns VSi monitor uses a motion-tolerant signal processing algorithm,

which produces the following SpO2 measurements:
• Oxygen saturation of arterial blood (SpO2) — The percentage of

oxygenated hemoglobin in relation to the sum of oxyhemoglobin and
deoxyhemoglobin (functional arterial oxygen saturation)
• A pulse rate value — The value can be derived from the SpO2 signal
• A perfusion indicator — Indicates the quality of the SpO2 signal
Selecting an SpO2 Sensor

When selecting a sensor, consider the patient’s weight and activity level,
adequacy of perfusion, availability of sensor sites, need for sterility, and
anticipated duration of monitoring.
You can use two types of SpO2 sensors:
• Reusable sensors can be reused on different patients.

• Disposable sensors must not be reused on different patients, however,
they can be reused or relocated on the same patient.
For more information about compatible SpO2 sensors, see
Chapter 10, “Accessories List.”
If an SpO2 value does not seem reasonable, use the perfusion indicator to assess
the signal quality. If the perfusion value is low (three bars or fewer) try adjusting
the sensor or using a different type of sensor.
Monitoring SpO2
Connecting SpO2 Cables
Caution Do not apply the blood pressure cuff to the same extremity as the one to
which an SpO2 sensor is attached because the cuff inflation disrupts SpO2
monitoring and leads to nuisance alarms.
Note — If the SpO2 measurement is delayed for more than 30 seconds (due to
an excessively noisy signal or because you are trying to measure NBP and SpO2
on the same limb), the SpO2 Extd Update alarm occurs and the SpO2 numeric
pane display alternates between the measurement value and a question mark
(-?-).
Connecting SpO2 Cables

Connect the sensor cable
to the SpO2 input
connector on the side
panel, as shown in the
illustration. If the sensor
uses an adapter cable, plug
the sensor into the adapter
cable, and the adapter
cable into the SpO2 input
connector.
SpO2 input
connector
Monitoring SpO2
The SpO2 Numeric Pane
The SpO2 Numeric Pane

The following illustration shows the components of the SpO2 numeric pane.
98
Perfusion
SpO2 %
indicator
SpO2 measurement
After 20 seconds of a valid SpO2 signal, the monitor saves the measurement to
the patient record, and the record closes. The measurement is cleared from the
numeric pane.
Changing SpO2 Response Mode

The SpO2 Response setting on the SpO2 Menu determines how quickly the
monitor reports changes in SpO2 values.
To change the SpO2 response mode:
Step
1 Press the Up/Down key to highlight the SpO2 numeric pane.

The SpO2 Menu appears.
3 Press the Up/Down key to highlight the SpO2 Response menu

item.
Monitoring SpO2
SpO2 Safety Information
4 Press the Select key, and then press the Up/Down key to select one
of the following options:
• Slow — Use this setting when motion artifact is an issue. SpO2
changes are reported more slowly compared to the other
modes.
• Normal — Use this setting for most monitoring situations.
• Fast — Use this setting for special applications (for example,

patients with unstable respiratory conditions) when you need a
fast response. Do not use this setting if motion artifact is an
issue.
5 Press the Select key to save the selected option.
Alternative: Press the Up/Down key to highlight the Main Screen

The SureSigns VSi pulse oximeter is calibrated to indicate functional oxygen
saturation.
Warning To minimize risk of damage to the monitor during defibrillation use only
approved supplies.
The SureSigns VSi monitor does not perform continuous SpO2 monitoring.
Never apply an SpO2 sensor at ambient temperatures above 35oC (95oF)

because this can cause severe burns after prolonged application.
Injected dyes, like methylene blue, or intravascular dyshemoglobins

(methemoglobin and carboxyhemoglobin) can lead to inaccurate
measurements.
Monitoring SpO2
Interference can be caused by:
• High levels of ambient light. To avoid this problem, cover the

application site with opaque material.
• Electromagnetic interference.
• Excessive patient movement and vibration.
High oxygen levels can predispose a premature infant to retrolental
fibroplasia. Transcutaneous SpO2 monitoring is recommended for
premature infants receiving supplemental oxygen.
Do not use disposable sensors on patients who have allergic reactions to the
adhesive.
Do not use the monitor or SpO2 sensors during magnetic resonance imaging
(MRI) scanning. Induced current could potentially cause burns. The
monitor may affect the MRI image, and the MRI unit may affect the
accuracy of the monitor’s measurements.
Caution Use only specified sensors and cables, otherwise patient injury can result.
Before using a sensor, verify that it is compatible with the monitor. For a
complete list of compatible accessories, see Chapter 10, “Accessories List.”
Do not leave the sensor on the patient once the measurement is complete;
remove the sensor from the patient.
Sensors are not sterile and should not be used in a sterile environment.
Do not apply the sensor too tightly as this results in venous pulsation. This
can severely obstruct circulation and lead to inaccurate measurements.
Follow the sensor’s instructions for use; adhere to all warnings and
cautions.
Check that the light emitter and the photo-detector are directly opposite
each other. All light from the emitter must pass through the patient’s tissue.
Remove colored nail polish from the application site.
Make sure that the sensor is the appropriate size. The sensor should not fall
off, nor should it be too tight.
When applying the M1193A or M1193T neonatal sensor, do not overtighten
the strap.
Monitoring SpO2
When using the M1195A infant finger sensor, select a finger or toe with a
diameter of between 7 and 8 mm (0.27" and 0.31").
If a sensor is too loose, it might compromise the optical alignment or fall off.
If it is too tight — because the application site is too large or becomes too
large due to edema — the excessive pressure may cause venous congestion
distal, leading to interstitial edema, hypoxaemia and tissue malnutrition.
Do not use OxiCliq™ disposable sensors in a high humidity environment,
such as in neonatal incubators or in the presence of fluids, which can
contaminate sensor and electrical connections causing unreliable or
intermittent measurements.
For neonatal patients, place all sensor connectors and adapter cable
connectors outside the incubator. The humidity in the incubator can cause
inaccurate measurements.
Do not place the sensor on extremities with an arterial catheter or
intravascular venous infusion line.
Do not use more than one extension cable (M1941A). Do not use an
extension cable with Philips reusable sensors with part numbers ending in
-L (which indicates “Long” version). Do not use an extension cable with an
adapter cable.
To avoid electrical interference, position the sensor cable and connector
away from power cables.
To dispose of pulse oximeter equipment or components, follow local
regulations regarding disposal of hospital waste.
Monitoring SpO2
6
Monitoring NBP
The SureSigns VSi monitor measures Systolic, Diastolic, and Mean arterial
blood pressure by acquiring pressure pulses through a series of controlled
deflation steps of an inflated cuff.
NBP Measurement Limitations

You cannot take an NBP measurement on patients with heart rate extremes of
less than 40 bpm or greater than 300 bpm, or if the patient is on a heart-lung
machine.
NBP measurements may be inaccurate or impossible on patients with the

following conditions:
• An irregular arterial pressure pulse

• Cardiac arrhythmias
• Excessive and continuous movement, such as shivering or convulsions
• Rapid blood pressure changes
• Severe shock or hypothermia that reduces blood flow to the peripheries
• Obesity, where a thick layer of fat surrounding a limb dampens the
oscillations coming from the artery
• An edematous extremity
Monitoring NBP
Selecting an NBP Cuff
Selecting an NBP Cuff

Select an NBP cuff based on the patient’s arm size. After wrapping the cuff
around the patient’s arm, the index line should fall between the two range lines
and the arterial marking should be over the patient’s brachial artery.
A cuff that is too loose or too tight can cause inaccurate measurements. Also, if
the cuff is too loose, it may not deflate properly.
You can use two types of NBP cuffs:
• Reusable cuffs can be reused on different patients.

• Disposable cuffs must not be reused on different patients, however, they
can be reused or relocated on the same patient.
For information about compatible NBP cuffs, see Chapter 10, “Accessories
List.”
Connecting the Cuff and Hose

Connect the selected cuff
to the hose and the hose to
the NBP input connector,
as shown in the
illustration.
NBP input
connector
Monitoring NBP
NBP Numeric Panes
Warning Never connect intra-arterial or intravenous, or any other Luer connectors,

to the NBP tubing. This could cause serious injury and death.
Caution Do not compress the hose or restrict the pressure.
NBP Numeric Panes

Two panes are used to display NBP values. One pane displays the Systolic and
Diastolic values. The other pane displays the current inflation pressure while the
cuff is inflating, then displays the NBP MAP value when the measurement
completes.
The following illustration shows the components of the two NBP numeric panes.
SYS mmHg Units of measure
122 Systolic value
85
DIA
Diastolic value
98
MAP
Mean Arterial
Pressure (MAP) value
Monitoring NBP
Changing NBP Settings

Use the Blood Pressure Menu to:
• Configure the initial inflation pressure
• Change the units of measurement

To open the Blood Pressure Menu:
Step
1 Press the Up/Down key to highlight the NBP numeric pane.

The Blood Pressure Menu appears. Current settings are
displayed.
Configuring the Initial Inflation Pressure

The Initial Inflation Pressure setting specifies the maximum amount that the
cuff will inflate when you start a new patient.
The factory default value for Initial Inflation Pressure is based on the patient
type:
• Adult: 160 mmHg (21.3 kPa)

• Pediatric: 140 mmHg (18.7 kPa)
• Neonatal: 100 mmHg (13.3 kPa)
As the cuff inflates, the current inflation pressure appears in the NBP MAP
pane. After the measurement is complete, the inflation pressure value disappears
and the final MAP value appears in the pane.
Monitoring NBP
To change the initial inflation pressure:
Step
1 Open the Blood Pressure Menu and press the Up/Down key to
highlight Initial Inflation Pressure.
2 Press the Select key, and then press the Up/Down key to select the
desired inflation pressure. The range of values is based on the
current patient type.
3 Press the Select key to save the selected value.
If you start a new patient, change the patient type, or put the monitor in Standby
mode, the Initial Inflation Pressure setting reverts to the factory default value or
the default value set by your system administrator on the password-protected
System Admin Menu.
Note — For safety reasons, the cuff automatically deflates if
• The measurement time exceeds 120 seconds (90 seconds in

Neonatal mode)
• The microprocessor fails
• The overpressure limit is exceeded
• Power is lost
Monitoring NBP
Recalculating the NBP Value if the Limb is not at Heart Level
Changing the NBP Units of Measurement

To change the blood pressure units of measurement:
Step
1 Open the Blood Pressure Menu and press the Up/Down key to
highlight Blood Pressure Units.
2 Press the Select key, and then press the Up/Down key to select one
of the following options:
• mmHg
• kPa
Recalculating the NBP Value if the Limb is not at Heart Level

If the limb is not at heart level while an NBP measurement is in progress,
recalculate the displayed NBP value as follows:
If the limb is Then
Higher than For each centimeter higher, add 0.75 mmHg (0.10 kPa)
heart level or
For each inch higher, add 1.9 mmHg (0.25 kPa)
Lower than For each centimeter lower, deduct 0.75 mmHg (0.10 kPa)
heart level or
For each inch lower, deduct 1.9 mmHg (0.25 kPa)
Monitoring NBP
Stopping an NBP Measurement
Stopping an NBP Measurement

To stop a measurement in progress, press the NBP key on the front
panel.
NBP key
NBP Safety Information
Warning Continual NBP measurements can cause injury to the patient being
monitored. Weigh the advantages of frequent measurement against the risk
of injury.
In some cases, rapid, prolonged cycling of an NBP cuff has been associated
with any or all of the following: ischemia, purpura, or neuropathy. Apply
the cuff according to the directions and check the cuff site and cuffed
extremity regularly when blood pressure is measured at frequent intervals
or over extended periods of time.
Check the patient’s limb to assure that circulation is not constricted.

Constriction of circulation is indicated by discoloration of the extremity.
Check the limb at regular intervals based on the circumstances of the
specific situation.
Do not place the cuff on an extremity being used for intravenous infusion or
any area where circulation is compromised or has the potential to be
compromised.
Do not apply the blood pressure cuff to the same extremity as the one to
which an SpO2 sensor is attached because the cuff inflation disrupts SpO2
monitoring and leads to nuisance alarms.
Monitoring NBP
NBP Safety Information
Caution Do not reuse disposable NBP cuffs on different patients.
Monitoring NBP
7
Monitoring Temperature
This chapter describes how to take a temperature measurement with the

SureSigns VSi monitor and how to change temperature settings.
Connecting the Temperature Probe

Insert the temperature
probe in the probe well.
Connect the probe cable to
the Temperature input
connector on the Probe well
temperature module, as
shown in the illustration.
Temperature
input
connector
The Temperature Numeric Pane
The Temperature Numeric Pane

The following illustration shows the components of the Temperature numeric
pane.
Units of measure Probe type
37.1
oC Oral
Temperature
measurement
When the temperature measurement is complete, the monitor saves the

measurement to the patient record, and the record closes. The measurement is
cleared from the numeric pane.
Taking a Temperature Measurement
Taking a Temperature Measurement
Warning Use only approved, disposable probe covers. Probe covers are for single use
only. The use of unapproved probe covers or not using a probe cover can
result in the following:
• Discomfort to the patient
• Patient cross-contamination
• Erroneous temperature measurements
• Damage to the probe
If the patient temperature is lower than the temperature of the probe,

measurement errors may result.
When you take rectal temperature measurements, insert the probe slowly
and carefully to avoid tissue damage.
To take a temperature measurement:
Step
1 Remove the temperature probe from the probe well.
After a few seconds, a chime sounds and the Ready

icon appears, indicating that you can now take a
Ready icon temperature measurement.
2 Verify that the correct probe site (Oral, Axillary, or Rectal) is

selected. The probe site appears in the top of the Temperature
pane.
To change the probe site, see “Changing the Probe Site” on
page 7-7.
3 Place a new cover on the probe.
Changing Temperature Settings
4 Place the probe in the appropriate site on the patient.

An hourglass appears in the numeric pane while the monitor is
calculating the temperature value. A chime sounds when the
temperature measurement is complete.
5 Eject the probe cover and dispose of it in accordance with your

facility’s policies.
6 Replace the probe in the probe well.
Note — When the monitor switches from Standby mode to On mode, the
temperature module takes several seconds to reset. Do not remove the
temperature probe from the well while the module resets.

Use the Temperature Menu to:
• Change the temperature mode

• Change the probe type
• Change the units of measurement
To open the Temperature Menu:
Step
1 Press the Up/Down key to highlight the Temperature numeric

pane.

The Temperature Menu appears. Current temperature settings are
displayed.
Changing the Temperature Mode

The following two temperature modes are available:
• Predictive mode. Use Predictive mode for most monitoring situations. In

Predictive mode, the monitor measures the patient’s temperature for
approximately four seconds for oral measurements and approximately 16
seconds for axillary and rectal measurements.
If the probe loses contact with the patient’s tissue at any time during the
measurement, the Ready icon will reappear and the pane will not display a
value until contact has been reestablished.
If the monitor cannot get a reading after one minute, it automatically
switches to Monitored mode.
• Monitored mode. In Monitored mode, the monitor measures the patient’s
temperature continuously and displays the temperature in the numeric
pane as long as the probe is in contact with the patient.
Use Monitored mode only when the situation prevents accurate predictive
measurement. The monitor automatically switches to Monitored mode
when measurement quality is poor or the probe has been removed from
the well and no measurement taken within 60 seconds. When the probe is
returned to the probe well, the monitor cancels Monitored mode and
automatically switches back to Predictive mode.
Note — Temperature measurements taken in Monitored mode are not

saved to a patient record.
Caution Do not exceed the recommended measurement periods of three minutes for
oral and rectal measurements and five minutes for axillary measurements.
To change the temperature mode:
Step
1 Open the Temperature Menu and press the Up/Down key to

highlight Mode.
2 Press the Select key, and then press the Up/Down key to select
one of the following options:
• Monitored
• Predictive

If you select Monitored mode, the Monitored
Mode icon appears in the Temperature numeric
Monitored Mode pane when you remove the probe from the well.
icon
Alternative: Press the Up/Down key until the Main Screen
button is selected and press the Select key.
Note — In Predictive and Monitored modes, the monitor can sometimes

complete a temperature reading even though the quality of the measurement is
marginal. When this occurs, the Temperature numeric pane display alternates
between the measurement value and a question mark (-?-). The measurement is
not saved to the patient record.
Changing the Probe Site

The SureSigns VSi monitor uses blue temperature probes for oral and axillary
temperature measurements and red probes for rectal measurements.
Note — The currently selected probe site appears in the Temperature numeric
pane when you remove the probe from the probe well.
To select the measurement site:
Step

highlight the correct probe type — red or blue.
2 Press the Select key, and then press the Up/Down key to select a
measurement site. The choices are:
• Blue Probe Site: Oral or Axillary
• Red Probe Site: Rectal
Verifying the Temperature Accuracy
Changing the Temperature Units of Measurement

To change the temperature units of measurement:
Step

highlight Temperature Units.
• oC (Celsius)
• oF
(Fahrenheit)

To understand the method for verifying the accuracy of your thermometer, it is
important to understand how the thermometer works. Taking repeat
temperatures in quick succession on the same patient or comparing the readings
to another thermometer will not work for the following reasons:
• The thermometer is a “predictive” thermometer, which means that it uses

an algorithm to predict what a patient’s temperature would be in three to
five minutes.
• When the thermometer is placed in the patient site, the probe is generally
cooler than the patient temperature site and the patient is generally
warmer. Heat is then transferred to the probe, causing the patient’s body
site to be cooled. The body site then takes approximately 20 minutes to
return to the original temperature. If you repeat the temperature
measurement or use a different thermometer prior to the 20-minute

recovery time, the reading will likely be different.
• Different thermometers use different predictive algorithms. These
algorithms are based on a sampling of patients’ temperatures at the
desired quick predict time versus their three- to five-minute temperature.
Therefore, comparing a SureSigns temperature reading to a reading from a
different thermometer is not an effective method for testing accuracy.
After you take a predictive temperature measurement on a patient, you can
verify the value by following these steps:
Step
1 Replace the temperature probe in the probe well.

highlight Mode.
3 Press the Select key and then press the Up/Down key to select
Monitored.
4 Press the Select key to save the selected option, and then press
the Main Screen key
The Monitored Mode icon appears in the
Temperature numeric pane when you remove the
Monitored Mode probe from the well.
icon
5 Remove the temperature probe from the probe well and firmly
push the probe into a probe cover.
6 Place the probe in the appropriate site on the patient.
Temperature Safety Information
7 Hold the probe in position for the following durations:

• 3 minutes for oral and rectal temperatures
• 5 minutes for axillary temperatures
This is the amount of time it takes for the probe and the patient's
body site to come to thermal equilibrium (or the same
temperature).
8 Before removing the probe, note the temperature value.

(Monitored temperature values are not saved to a patient record.)
Temperature Safety Information
Warning To minimize risk of damage to the monitor during defibrillation, use only
approved supplies.
Use only the specified probes for your monitor.
Do not use the thermometer if you see any signs of damage to the probe.
Disposal of probe covers must be in compliance with local and facility

regulations.
Caution When you replace the temperature probe after a measurement is complete,
verify that the probe is firmly seated in the well, but do not forcefully insert
the probe into the well.
Biting the probe may cause damage to the probe.
Do not take an axillary temperature through a patient’s clothing. Direct
probe cover-to-skin contact is required.
8
Monitoring Pulse Rate
The SureSigns VSi monitor calculates and displays a pulse rate value, which can
be derived from either an SpO2 or NBP measurement.
Warning The SureSigns VSi monitor does not perform continuous Pulse
measurements.
The Pulse Rate Numeric Pane

The following illustration shows the components of the Pulse Rate numeric
pane:
Units of measurement
85
bpm SpO2 Pulse Rate Source
(SpO2 in this example)
Pulse rate value
Note — If the pulse rate source is SpO2, the pulse rate measurement is cleared
from the numeric pane when the patient record is closed.

Changing the Pulse Rate Source

You can configure the monitor to derive the pulse rate value from SpO2 or NBP.
You can also configure the monitor to search automatically for an available
source: SpO2 first, then NBP.
If you select NBP as the pulse rate source, note the following:
• The pulse rate value derived from NBP is an averaged value.

• The displayed pulse rate value is static, which means that it displays the
pulse rate value at the time of the last NBP measurement. To determine
the time at which the pulse rate was measured, see the timestamp in the
Patient Records table.
To change the pulse rate source:
Step
1 Press the Up/Down key to highlight the Pulse Rate numeric pane.

The Pulse Rate Menu appears. The current setting is displayed.
3 Press the Up/Down key to highlight the Pulse Source menu

item.

• SpO2 — The monitor derives the pulse rate value from
SpO2.
• NBP — The monitor derives the pulse rate value from NBP.
• Auto — The monitor searches for an available pulse rate
source: SpO2 first, then NBP.
Notes
• If the pulse rate source is NBP, after a measurement completes, the
value is cleared from the monitor screen as soon as the record is
closed or if the value is older than three minutes, whichever comes
first.
• If your patient has a very low pulse rate or strong arrhythmia, pulse
rate readings derived from SpO2 may cause nuisance alarms. Use
the perfusion indicator to assess signal quality. If necessary, use a
different method to measure the patient’s pulse rate.


9
Care and Cleaning
To clean or disinfect your SureSigns VSi monitor, use only the approved
cleaning agents listed in this chapter.
For information about how to clean accessories, see the instructions for use
provided with the accessory.
Warning Do not use unapproved cleaning or disinfecting agents. Even small

quantities of some cleaning agents will damage the monitor.
Do not use abrasive cleaners or strong solvents such as acetone or

acetone-based compounds. The warranty does not cover damage caused by
using unapproved substances.
General Guidelines
Keep the monitor, cables, and accessories free of dust and dirt. After cleaning
and disinfecting, check the equipment carefully. Do not use the equipment if you
see signs of deterioration or damage.
If you need to return any equipment to Philips, clean and disinfect it first.
Follow these general precautions:
• Always dilute cleaning agents according to the manufacturer’s

instructions or use the lowest possible concentration.
• Do not allow liquid to enter the case.
• Do not immerse any part of the equipment in liquid.
Care and Cleaning

Cleaning and Disinfecting the Monitor
• Do not pour liquid onto the system.

• Never use abrasive material (such as steel wool or silver polish).
• Do not autoclave, steam sterilize, or ultrasonically clean the monitor or
cables.
• Do not use bleach on electrical contacts or connectors.
• Do not use alcohol on the patient cables. Alcohol can cause the plastic to
become brittle and fail prematurely.
Caution If you spill liquid on the exterior of the monitor, use a clean cloth to dry it.
If you believe the liquid may have entered the monitor, contact your
biomedical engineer, who can verify the performance and safety of the
equipment.

To clean the monitor:
Step
1 Dampen a soft cloth with mild soap and water.
2 Wring any excess moisture from the cloth and gently clean the
monitor.
Care and Cleaning

To disinfect the monitor:
Step
1 Dampen a soft cloth with any one of the following:

• Isopropyl alcohol (70% solution in water)
• Sodium hypochlorite (chlorine bleach, 5% solution in water)
• Quaternary ammonium chloride compounds (<0.25%)
• Hydrogen peroxide (<5%)
• Peracetic acid (<1%) with Hydrogen peroxide (<1%)
• Sodium dichloroisocyanurate solid (48% before dilution)
• Ethylene glycol monobutyl ether (2.5%) with isopropanol
(14%)
2 Wring any excess moisture from the cloth and wipe the monitor to
disinfect it.
Note — If your monitor has an attached SureSigns VSi and VS2+ Tabletop
Base, use the same solutions to clean the base and the monitor.
Care and Cleaning

Cleaning and Disinfecting the Cables
Cleaning and Disinfecting the Cables
Caution Do not use alcohol to clean the cables. Alcohol can cause the cables to
become brittle.
To clean the cables:
Step
1 Dampen a soft cloth with alcohol-free hand soap.
cables.
3 Clean the cables again with a damp cloth moistened with water only.
To disinfect the cables:
Step
1 Dampen a soft cloth with sodium hypochlorite (chlorine bleach),

3% solution in water.
Caution: Sodium hypochlorite may discolor the cable.
cables.
3 Clean the cables again with a damp cloth moistened with water
only.
Care and Cleaning

Cleaning and Disinfecting the Temperature Module
Caution When cleaning the temperature module, follow these general precautions:
• Do not use steam, heat, or gas sterilization on the probe or probe well.
• Do not autoclave the probe well.
Cleaning and Disinfecting the Probe and Cord

To clean the probe and cord:
• Dampen a soft cloth with mild soap and warm water and wipe the probe
and cord.
To disinfect the probe and cord:
• Dampen a soft cloth with any one of the following solutions and wipe the
probe and cord:
– Isopropyl alcohol (70% solution in water)
– Sodium hypochlorite (chlorine bleach, 10% solution in water)
– A nonstaining disinfectant
Cleaning and Disinfecting the Probe Well

To clean and disinfect the probe well:
Step
1 Disconnect the probe and remove it from the well.
2 Remove the well from the monitor.
Care and Cleaning

3 Dampen a soft cloth with mild soap and warm water and wipe the
inner and outer surfaces.
4 If needed, disinfect the well with any one of the following:

• Isopropyl alcohol (70% solution in water)
• Sodium hypochlorite (chlorine bleach, 10% solution in water)
• A nonstaining disinfectant
5 Thoroughly dry all of the surfaces before replacing the well in the
monitor.
Care and Cleaning

10
Accessories List
This chapter lists accessories that are compatible with the SureSigns VSi vital
signs monitor.
Note — The accessory list is subject to change. For the latest information about
supported accessories, contact your authorized Philips representative or refer to
www.medical.philips.com.
Accessories List
SpO2 Accessories
SpO2 Accessories
Philips Reusable Sensors
Patient Cable Part Use With This

Description
Category Length Number Cable
Adult Finger sensor, for patient size 2m M1191B Extension Cable

> 110 lb (50 kg) M1941A (2 m)
Pediatric/ Finger sensor, for patient size 1.5 m M1192A

Small adult 33 lb – 110 lb (15 kg – 50 kg)
Neonatal Foot/hand sensor, for patient size 1.5 m M1193A

2.2 lb – 8.8 lb (1 kg – 4 kg)
Adult Ear clip sensor, for patient size 1.5 m M1194A

> 88 lb (40 kg)
Infant Finger sensor, for patient size 1.5 m M1195A

8.8 lb – 33 lb (4 kg – 15 kg)
Adult/Large Finger clip, for patient size 2m M1196S

Pediatric > 88 lb (40 kg)
Adult Finger sensor, for patient size 3m M1191BL No extension cable

> 110 lb (50 kg)
Adult Finger clip, for patient size 3m M1196A

> 88 lb (40 kg)
Accessories List
SpO2 Accessories
Patient Cable Part Use With This

Description
Category Length Number Cable
Adult Finger sensor, for patient size 45 cm M1191T Adapter Cable

> 110 lb (50 kg) M1943A (1.1 m) or
M1943AL (3 m)
Pediatric Finger sensor, for patient size 45 cm M1192T
33 lb – 110 lb (15 kg – 50 kg)
Neonatal Foot/hand sensor, for patient size 90 cm M1193T

2.2 lb – 8.8 lb (1 kg – 4 kg)
Pediatric/ Finger sensor, for patient size 90 cm M1196T

Adult > 88 lb (40 kg)
Philips Disposable Sensors
Patient Part Use With This

Description
Category Number Cable
Adult/ Finger sensor, for patient size > 44 lb (20 kg) M1131A Adapter Cable
Pediatric M1943A (1.1 m)
or
Infant Digit sensor for patient size 7 lb – 22 lb M1132A M1943AL (3 m)
(3 kg – 10 kg)
Neonatal/ Foot/hand sensor for neonate; big toe/thumb for M1133A

Infant/Adult infant; finger for adult.
Neonate patient size, < 7 lb (3 kg)
Infant patient size, 22 lb – 44 lb (10 kg – 20 kg)
Adult patient size, > 88 lb (40 kg)
Neonatal/ Foot/hand sensor for neonate; big toe/thumb for M1134A

Infant/Adult infant; finger for adult.
No adhesive
Neonate patient size, < 7 lb (3 kg)
Infant patient size, 22 lb – 44 lb (10 kg – 20 kg)
Adult patient size, > 88 lb (40 kg)
Accessories List
SpO2 Accessories
Nellcor Disposable Sensors
Note — The Nellcor disposable sensors listed below are only available from
Philips in Europe and Japan.
Patient Part Use With This

Description
Category Number Cable
Neonate/ Sensor for neonatal foot or adult digit, for M1901B Adapter Cable
Adult patient size < 7 lb or > 88 lb (< 3 kg or > 40 kg) M1943A (1.1 m)
or
Infant Digit sensor for patient size 7 lb – 44 lb M1902B M1943AL (3 m)
(3 kg – 20 kg)
Pediatric Digit sensor for patient size 22 lb – 110 lb M1903B

(10 kg – 50 kg)
Adult Digit sensor for patient size > 66 lb (30 kg) M1904B
Accessories List
NBP Accessories
Masimo Adapter Cables
Cable
Description Part Number
Length
Masimo LNOP Adapter Cable (adapts LNOP sensors to Philips 3.6 m M1020-61100
monitors)
Masimo LNCS Adapter Cable (adapts LNCS sensors to Philips 3.0 m 989803148221
monitors)
NBP Accessories
Reusable Comfort Cuffs
Patient Category/ Limb Bladder Part

Tubing
Cuff Type Circumference Width Number
Thigh 42 cm – 54 cm 20 cm M1576A M1598B (1.5 m)

or
Large Adult 34 cm – 43 cm 16 cm M1575A M1599B (3 m)
Adult 27 cm – 35 cm 13 cm M1574A
Small Adult 20.5 cm – 28 cm 10.5 cm M1573A
Pediatric 14 cm – 21.5 cm 8 cm M1572A
Infant 10 cm – 15 cm 5.5 cm M1571A
Accessories List
NBP Accessories
Reusable Traditional Cuffs

Tubing
Thigh 46 cm – 66 cm 17.8 cm 40401E M1598B (1.5 m)

or
Large Adult 33 cm – 47 cm 15.2 cm 40401D M1599B (3 m)
Adult 25 cm – 35 cm 12.1 cm 40401C
Pediatric 18 cm – 26 cm 8.9 cm 40401B
Infant 10 cm – 19 cm 6 cm 40401A
Reusable Easy Care Adult/Pediatric Cuffs

Tubing
Thigh 44 cm – 56 cm 21 cm M4559B M1598B (1.5 m)

or
Large Adult X-Long 35 cm – 45 cm 17 cm M4558B M1599B (3 m)
Large Adult 35 cm – 45 cm 17 cm M4557B
Adult X-Long 27.5 cm – 36 cm 13.5 cm M4556B
Adult 27.5 cm – 36 cm 13.5 cm M4555B
Small Adult 20.5 cm – 28.5 cm 10.6 cm M4554B
Pediatric 14 cm – 21.5 cm 8 cm M4553B
Infant 10 cm – 15 cm 5.5 cm M4552B
Accessories List
NBP Accessories
Disposable Soft Adult/Pediatric Cuffs

Tubing
Thigh 44 cm – 56 cm 21 cm M4579B M1598B (1.5 m)

or
Large Adult X-Long 35 cm – 45 cm 17 cm M4578B M1599B (3 m)
Large Adult 35 cm – 45 cm 17 cm M4577B
Adult X-Long 27.5 cm – 36 cm 13.5 cm M4576B
Adult 27.5 cm – 36 cm 13.5 cm M4575B
Small Adult 20.5 cm – 28.5 cm 10.6 cm M4574B
Pediatric 14 cm – 21.5 cm 8 cm M4573B
Infant 10 cm – 15 cm 5.5 cm M4572B
Disposable Adult/Pediatric Cuffs

Tubing
Thigh 42 cm – 54 cm 20 cm M1879A M1598B (1.5 m)

or
Large Adult 34 cm – 43 cm 16 cm M1878A M1599B (3 m)
Adult 27 cm – 35 cm 13 cm M1877A
Small Adult 20.5 cm – 28 cm 10.5 cm M1876A
Pediatric 14 cm – 21.5 cm 8 cm M1875A
Infant 10 cm – 15 cm 5.5 cm M1874A
Accessories List
NBP Accessories
Disposable Neonatal Cuffs (Luer Connector)1
Limb Bladder Part

Cuffs Tubing
Circumference Width Number
Size 1 3.1 cm – 5.7 cm 2.5 cm M1866A M1596B (1.5 m)

or
Size 2 4.3 cm – 8.0 cm 3.2 cm M1868A M1597B (3 m)
Size 3 5.8 cm – 10.9 cm 4.2 cm M1870A
Size 4 7.1 cm – 13.1 cm 5.1 cm M1872A
Disposable Neonatal Cuffs (Safety Connector)2
Limb Bladder Part

Cuffs Tubing
Size 1 3.1 cm – 5.7 cm 2.2 cm M1866B M1596C (1.5 m)
Size 2 4.3 cm – 8.0 cm 2.8 cm M1868B or

M1597C (3 m)
Size 3 5.8 cm – 10.9 cm 3.9 cm M1870B
Size 4 7.1 cm – 13.1 cm 4.7 cm M1872B
Size 5 Infant 10 cm – 15 cm 5.5 cm M1873B
1. The luer connector cuffs and air hoses are not available in EEA (European Economic Area) countries.
2. The safety connector cuffs and air hoses may not be available in all countries. Check with your local
sales organization.
Accessories List
Temperature Accessories
Disposable Soft Neonatal Cuffs (Safety Connector)
Limb Bladder Part

Cuffs Tubing
Size 1 3.1 cm – 5.7 cm 2.2 cm M1866S M1596C (1.5 m)
Size 2 4.3 cm – 8.0 cm 2.8 cm M1868S or

M1597C (3 m)
Size 3 5.8 cm – 10.9 cm 3.9 cm M1870S
Size 4 7.1 cm – 13.1 cm 4.7 cm M1872S
Size 5 Infant 10 cm – 15 cm 5.5 cm M1873S
Temperature Accessories
Patient
Category
All patient types Rectal probe and well kit 989803143391
All patient types Oral/Axillary probe and well kit 989803143381
Disposable probe covers, 1000 per case M4823A
Accessories List
Miscellaneous Accessories
Miscellaneous Accessories
Roll Stand with Basket 989803144001
Wall Mount 989803144011
Lithium Ion battery 989803174881
1D Barcode Scanner (includes mounting arm for use with roll stand) 989803167691
2D Barcode Scanner (includes mounting arm for use with roll stand) 989803147821
Serial Interface Adapter 989803159601
Cable Management Kit 989803148841
SureSigns Mount Adapter 989803150281
USB hub, 4-port 453564039661
SureSigns VSi and VS2+ Tabletop Base 989803176261
Accessories List
11
Specifications
General Specifications
Parameter Specification
Size
Width 18.4 cm (8.1 in.)
Height 20.5 cm (7.2 in.)
Depth 15.0 cm (5.9 in.)
Weight 1.7 kg (3.8 lb), including battery, temperature module, and

wireless option
Display
Screen Type 4.3" WQVGA TFT-AM LCD display
Resolution 480 active pixels/line, 272 active lines per frame
Refresh Frequency 60 Hz
Screen Active Area 95.0 mm x 53.9 mm (3.7 in. x 2.1 in.)
Pixel Size 0.213 mm
Viewing Angles ±60 degrees
Alarm Audio Range Meets IEC 60601-2-49 (45 dB – 85 dB)
System Response Time 1 second
Specifications
Safety Standards
Safety Standards
EN/IEC 60601-1, EN/IEC 60601-1-2, EN/IEC 60601-2-49, ISO 9919
Protection Class Class I, internally powered equipment, per

IEC 60601-1
Degree of Protection Type CF defibrillator-proof, per IEC 60601-1
Mode of Operation Continuous
Protection Against Hazards Equipment is not suitable for use in the presence
of Ignition of Flammable of a flammable anaesthetic mixture with air or
Anaesthetic Mixtures oxygen or nitrous oxide, per IEC 60601-1
Electrical Specifications
Power Sources
Internal Battery Lithium ion, Smart battery

10.8 V – 11.1 V
2150 mAhr – 2300 mAhr
Battery Operating Time > 4.5 hours, taking 20 NBP and SpO2
(new, fully-charged measurements every 4 hours
battery)
Battery Charge Time Up to 5 hours to charge to 90% level when

monitoring with SpO2 and taking an NBP
measurement every 15 minutes
Up to 4 hours to charge to 90% level when
the unit is in Standby mode
Specifications
Environmental Specifications
Internal Power Supply 100 VAC – 240 VAC
Power Consumption < 75 Watts
Frequency 50/60 Hz
Caution The monitor might not meet performance specifications if stored or used
outside the specified temperature and humidity ranges.
Mechanical Shock Complies with the mechanical shock requirement

in ISO 9919 standards for use within the
healthcare facility. Test conditions include:
• Peak Acceleration: 150 m/s2 (15.3g)
• Duration: 11 ms
• Pulse shape: Half sine
• Number of shocks: 3 shocks per direction per
axis (18 total)
Specifications
Mechanical Vibration Complies with the mechanical vibration

requirement in ISO 9919 standards for use within
the healthcare facility. Test conditions include:
• Frequency range: 10 Hz to 2000 Hz
• Resolution: 10 Hz
• Acceleration amplitude:
10 Hz – 100 Hz: 1.0 (m/s2)2/Hz
100 Hz – 200 Hz: -3.0 dB/octave
200 Hz – 2000 Hz: 0.5 (m/s2)2/Hz
• Duration: 10 min per each perpendicular axis
(3 total)
Thermal
Operating 10oC – 40oC (50oF – 104oF)

Temperature
Storage Temperature -20oC – 50oC (-4oF – 122oF) for the device

-20oC – 40oC (-4oF – 104oF) for the device plus
accessories
Humidity
Operating Up to 80% RH, non-condensing
Storage Up to 90% RH, non-condensing
Altitude Up to 3000 m (9842 ft) above sea level

(701 mbar)
Electromagnetic Meets the EN 60601-1-2:2001 standard

Compatibility
Specifications
NBP Specifications
NBP Specifications
Oscillometric NBP Measurement

This monitor uses the oscillometric method for measuring NBP. In adult and
pediatric mode, the blood pressure measurements determined with this device
comply with the American National Standard for Electronic or Automated
Sphygmomanometers (ANSI/AAMI SP10-1992) in relation to mean error and
standard deviation, when compared to intra-arterial or auscultatory
measurements (depending on the configuration) in a representative patient
population. For the auscultatory reference, the fifth Korotkoff sound was used to
determine the diastolic pressure.
In neonatal mode, the blood pressure measurements determined with this device
comply with the American National Standard for Electronic or Automated
Sphygmomanometers (ANSI/AAMI SP10-1992) in relation to mean error and
standard deviation, when compared to intra-arterial or auscultatory
measurements in a representative patient population. The NBP measurement is
suitable for use in the presence of electrosurgery and during the discharge of a
cardiac defibrillator according to IEC 601-2-30:1999/EN 60601-2-30:2000.
Oscillometric devices measure the amplitude of pressure changes in the

occluding cuff as the cuff deflates from above systolic pressure. The amplitude
suddenly increases as the pulse breaks through the occlusion in the artery. As the
cuff pressure decreases further, the pulsations increase in amplitude, reach a
maximum (which approximates to the mean pressure), and then diminish.
Studies show that, especially in critical cases (arrhythmia, vasoconstriction,

hypertension, shock) oscillometric devices are more accurate and consistent than
devices using other noninvasive measuring techniques.
A physician must determine the clinical significance of the NBP information.
Specifications
NBP Specifications
The following table lists the specifications for the Philips NBP module:
Technique Oscillometric using stepwise deflation

pressure
Adult Measurement Range
Systolic 30 mmHg – 270 mmHg

(4.0 kPa – 36.0 kPa)
Diastolic 10 mmHg – 245 mmHg

(1.3 kPa – 32.7 kPa)
MAP 20 mmHg – 255 mmHg

(2.7 kPa – 34.0 kPa)
Pulse Rate Range 40 bpm – 300 bpm
Pediatric Measurement Range

(4.0 kPa – 24.0 kPa)

(1.3 kPa – 20.0 kPa)

(2.7 kPa – 21.3 kPa)
Neonatal Measurement Range

(4.0 kPa – 17.0 kPa)

(1.3 kPa – 13.3 kPa)

(2.7 kPa – 16.0 kPa)
Specifications
Temperature Specifications
Blood Pressure Accuracy Maximum Standard Deviation: 8 mmHg

Maximum Mean Error: ± 5 mmHg
Pulse Rate Accuracy • 40 bpm – 100 bpm: ± 5 bpm

• 101 bpm – 200 bpm: ± 5% of reading
• 201 bpm – 300 bpm: ± 10% of
reading
Initial Cuff Inflation • Adult: 160 mmHg (21.3 kPa)

• Pediatric: 140 mmHg (18.7 kPa)
• Neonatal: 100 mmHg (13.3 kPa)
Temperature Specifications
Monitored Mode 26.7oC – 43.3oC (80oF – 110oF)

Measurement Range
Predictive Mode 34.4oC – 40.6oC (93.9oF – 105oF)

Measurement Range
Accuracy ± 0.1oC (± 0.2oF) in Monitored mode
Resolution 0.1oC (0.2oF)
Specifications
SpO2 Specifications
SpO2 Specifications
The update rate for the SpO2 value and pulse rate is typically 1 second. Data
averaging and other signal processing on the displayed and transmitted data
values of SpO2 and pulse rate is controllable by the user-selectable SpO2
Response Mode: Slow (20 seconds), Normal (10 seconds), and Fast (5 seconds).
Depending on the magnitude of difference between the alarm limit and the
displayed value, the alarm signal generation delay may be from 1 second to the
value of the response time (5, 10, or 20 seconds).
Because pulse oximeter equipment measurements are statistically distributed,

only approximately two-thirds of pulse oximeter equipment measurements can
be expected to fall within the ± Arms value measured by a CO-oximeter.
SpO2 Measurement Range 0% – 100%
Pulse Rate Measurement Range 30 bpm – 300 bpm
SpO2 Accuracy1 Range Accuracy
Philips Reusable Sensors
M1191B, M1191BL, 70% – 100% ±2%

M1192A
M1193A, M1194A, M1195A, 70% – 100% ±3%

M1196A, M1196S, M1191T,
M1192T, M1196T
M1193T (Neonatal) 70% – 100% ±4%
Philips Disposable Sensors
M1131A, M1133A, M1134A 70% – 100% ±3%

(Neonatal)
M1132A, M1133A, M1134A 70% – 100% ±2%

(Adult/Infant)
Specifications
SpO2 Specifications
Nellcor Disposable Sensors
M1901B, M1902B, M1903B, 70% – 100% ±3%

M1904B
Pulse Rate Accuracy 2% or 1 bpm, whichever is greater
Wavelength Range2 500 nm – 1000 nm for all specified

sensors
Maximum Optical Output Power ≤ 15mW for all specified sensors

1. Sensor accuracy was obtained by performing controlled hypoxia studies on healthy, non-
smoking adult volunteers (according to EN ISO 9919). The SpO2 readings have been
compared to CO-oximeter measurements on arterial blood samples. To represent the general
population, data from at least 10 subjects (male and female) with a wide range of skin color
was taken to validate SpO2 accuracy.
2. Information about wavelength ranges can be useful for clinicians performing photodynamic
therapy.
Specifications
Interface Specifications
Interface Specifications
Nurse Call Alarm output
Connector 3.5 mm insulated phone jack, N.O and N.C

contacts
Contact rating ≤ 1A, < 25 VAC, < 60 VDC
Isolation 1.5 kV
Delay time < 0.5 sec
Data output Ethernet port

USB port, with the optional Serial Interface
Adapter
Wireless
Software upgrade USB port
Barcode scanner USB port

connection
Wireless interface Compliant with IEEE wireless networking

standards 802.11a, 802.11b and 802.11g
Optional internal wireless module with antenna
for wireless connectivity
Antenna The antenna in the monitor has been tested with

the following specifications:
• Form Factor: Whip

• Type: Dipole
• Maximum 2.4 GHz Gain: 2.15 dBi
• Maximum 5.0 GHz Gain: 3.90 dBi
Specifications
Radio Regulatory Compliance
USA — Federal Communication Commission

Interference Statement
This equipment has been tested and found to comply with the limits for a
Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are
designed to provide reasonable protection against harmful interference in a
residential installation. This equipment generates, uses, and can radiate radio
frequency energy and, if not installed and used in accordance with the
instructions, may cause harmful interference to radio communications. However,
there is no guarantee that interference will not occur in a particular installation.
If this equipment does cause harmful interference to radio or television
reception, which can be determined by turning the equipment off and on, the
user is encouraged to try to correct the interference by one of the following
measures:
1. Reorient or relocate the receiving antenna.

2. Increase the separation between the equipment and receiver.
3. Connect the equipment into an outlet on a circuit different from that to
which the receiver is connected.
4. Consult the dealer or an experienced radio/TV technician for help.
Caution FCC Caution: Any changes or modifications not expressly approved by the
party responsible for compliance could void the user’s authority to operate
this equipment.
This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) This device may not cause harmful interference,
and (2) this device must accept any interference received, including interference
that may cause undesired operation.
Specifications
Note — FCC Radiation Exposure Statement:
This equipment complies with FCC radiation exposure limits set forth for an
uncontrolled environment. This equipment should be installed and operated with
minimum distance 20 cm between the monitor and any person.
Industry Canada
To prevent radio interference to the licensed service, this device is intended to
be operated indoors and away from windows to provide maximum shielding.
Equipment (or its transmit antenna) that is installed outdoors is subject to
licensing.
For the specifications for antennas that are used with the monitor, see “Interface
Specifications” on page 11-10.
European Union
This device complies with the essential requirements of the R&TTE
Directive 1999/5/EC. The following test methods have been applied in order to
prove presumption of conformity with the essential requirements of the R&TTE
Directive 1999/5/EC:
• EN60950-1:2001 A11:2004
Safety of Information Technology Equipment
• EN 300 328 V1.7.1: (2006-10)
Electromagnetic compatibility and Radio spectrum Matters (ERM);
Wideband Transmission systems; Data transmission equipment operating
in the 2,4 GHz ISM band and using spread spectrum modulation
techniques; Harmonized EN covering essential requirements under article
3.2 of the R&TTE Directive
• EN 301 489-1 V1.6.1: (2005-09)
Electromagnetic compatibility and Radio Spectrum Matters (ERM);
ElectroMagnetic Compatibility (EMC) standard for radio equipment and
services; Part 1: Common technical requirements
Specifications
• EN 301 489-17 V1.2.1: (2002-08)

ElectroMagnetic Compatibility (EMC) standard for radio equipment and
services; Part 17: Specific conditions for 2,4 GHz wideband transmission
systems and 5 GHz high performance RLAN equipment
• EN 301 893
Broadband Radio Access Networks (BRAN); Specific conditions for
5 GHz high performance RLAN equipment
• EU 2002/95/EC (RoHS)
Declaration of Compliance - EU Directive 2003/95/EC; Reduction of
Hazardous Substances (RoHS)
This device is a 2.4 GHz wideband transmission system (transceiver), intended
for use in all EU member states and EFTA countries, except in France and Italy
where restrictive use applies.
In Italy the end-user should apply for a license at the national spectrum
authorities in order to obtain authorization to use the device for setting up
outdoor radio links and/or for supplying public access to telecommunications
and/or network services.
This device may not be used for setting up outdoor radio links in France and in
some areas the RF output power may be limited to 10 mW EIRP in the
frequency range of 2454 MHz to 2483.5 MHz. For detailed information the
end-user should contact the national spectrum authority in France.
Hereby, Philips declares that this monitor is in compliance with the essential
requirements and other relevent provisions of Directive 1999/5/EC.
Specifications
Specifications
12
Troubleshooting
Use the information in this chapter to diagnose and correct problems with your
monitor. If you cannot resolve a problem after using the information in this
chapter, contact your system administrator or biomedical engineer.
Viewing System Information

Important monitor information, such as the hardware version and the software
version, is displayed in the System Information window.
To view the System Information window, follow the instructions in “Viewing

Monitor Information” on page 2-18.
Diagnosing a Problem
Before you begin to troubleshoot a problem, check the following basics:
1. Is the power turned on?

2. Is the battery adequately charged?
3. Is the power cord connected to the monitor and plugged into an AC power
source?
4. Is the display functioning?
5. Are the LEDs on the front panel lit as you expect?
Troubleshooting
Troubleshooting Table
Note — It may take several seconds for the AC Power LED to light/turn off
after the power cord is connected/disconnected.
When the monitor has power and a functioning display, use the information in
this chapter to diagnose other monitor problems.
Use the following table to diagnose and fix monitor problems. The table
describes a monitor problem by symptom, lists possible causes and suggested
actions. If you cannot resolve a problem by using the following table, or if the
table does not list the problem you are experiencing, see your system
administrator.
Symptom Possible Cause Action

The monitor does not turn The power cord is unplugged. Ensure that the power cord
on with AC power, but is plugged into an AC
turns on with battery power source.
power. The power cord is broken. Replace the power cord if
necessary.
The monitor turns on with The battery is not charged. Charge the battery. For
AC power, but does not more information, see
turn on with battery power. “Charging the Battery” on
page 2-5.
The power is on, but the The monitor is in Standby Press the On/Standby key
monitor screen is blank. mode. to end Standby mode.
If the problem persists, see
your system administrator.
Audible alarms do not The monitor is in Audio Confirm audio alarms are
sound. Pause mode or Audio Off enabled.
mode.
Troubleshooting

The NBP cuff does not The tube or cuff is bent or Straighten the tube or cuff.
inflate. twisted.
The tube or cuff is leaking Replace the cuff and ensure
air. that there is no air leakage
in the tube.
NBP measurements are not Wrong cuff size or incorrect Use the correct cuff size
displayed. cuff placement. and ensure proper cuff
placement.
The tube is bent or twisted or Ensure that the tube is
there is air leakage in the air straight and not kinked.
tube or cuff. Replace the cuff and ensure
that there is no air leakage
in the tube.
An external problem Ensure that all external
occurred. blood pressure reading
requirements are met and
that the patient is not
moving excessively.
For more information about
taking NBP measurements,
see Chapter 6, “Monitoring
NBP.”
NBP measurements are Wrong cuff size or incorrect Use the correct cuff size
unreliable. cuff placement. and ensure proper cuff
placement.
An external problem Ensure that all external
occurred. blood pressure reading
requirements are met and
that the patient is not
moving excessively.
Troubleshooting

Temperature The probe is misplaced. Ensure that the probe is
measurements are not properly placed in the
displayed. measurement site.
The probe cable is not Ensure that the temperature
connected. probe is connected.
The temperature is over Ensure that temperature
range. readings are in the range of
15oC – 45oC
(59oF – 113oF).
The probe malfunctioned. Replace the temperature
probe.
Temperature The probe malfunctioned. Replace the temperature
measurements are probe.
unreliable.
SpO2 measurements are The SpO2 module is Wait until the module
not displayed. calculating the SpO2 value. completes the calculation.
The SpO2 sensor has Replace the SpO2 sensor.
malfunctioned.
SpO2 readings are An external problem Ensure that all external
unreliable. occurred. SpO2 reading requirements
are met and that the patient
is not moving excessively.
For more information about
taking SpO2 measurements,
see Chapter 5, “Monitoring
SpO2.”
The nurse call function Alarms have been silenced. Press the Alarm Silence
does not signal alarm key to end the Audio Off
conditions. mode or Audio Pause
mode.
The phono connector is loose Check the physical
or broken. connection to the nurse call
connector.
Troubleshooting
Alarms and Error Messages

The USB hub does not The USB hub is disconnected Ensure that all USB plugs
work. from the monitor. are firmly connected into
their ports.
The USB hub ports are Clean the USB hub. See the
blocked by dust or dirt. information that came with
the USB hub for cleaning
instructions.
The USB hub is faulty. Replace the USB hub.

If an error occurs during monitoring, an audible alarm sounds and alarm
messages appear on the monitor screen. Press the Alarm Silence key to end the
audible alarm. For a list of alarm messages, see Appendix A, “Alarm
Alarm Specifications.”
Silence key
If any of the following error messages appear, perform the actions described:
Message Action
NBP Equip Malfunc - Not Calibrated See your system administrator.
SpO2 Error. The front end will now reset Allow the monitor to reset. If the problem persists,
itself. see your system administrator.
Temp Error. The front end will now reset Allow the monitor to reset.
itself.
Verify that the Temperature module is positioned
correctly and secured to the side of the monitor.
If the problem persists, see your system
administrator.
System Error See your system administrator.
Troubleshooting
Troubleshooting
A
Alarm Specifications
Technical Alarms
The following table contains an alphabetical listing of technical alarm messages.
Alarm Message Priority Cause

Date/Time Adjusted Low Indicates that a time change greater than 30 seconds
occurred when the monitor synchronized the time to the
server or EHR system. This alarm can occur only if your
system administrator enables time synchronization on the
monitor. This is only a visual message.
Extreme Low Batt High This is the second low battery alarm. Remaining battery
power is less than 21 percent.
Low Batt Low Remaining battery power is less than 30 percent.
Loss of Monitoring Low Indicates that the monitor has shut itself down and then
restarted, due to an internal error. The Loss of
Monitoring message appears to inform you that some
patient data may have been lost.
NBP Air Leak Low The monitor cannot adjust pressure. This may be due to
leakage or an NBP module internal problem.
NBP Artifact Low The monitor cannot correct the pressure to the intended
value within the time limit, or the monitor requires too
many pressure correction attempts to adjust the pressure
to the intended value.
This may be due to excessive patient movement, leakage,
or a problem with extreme edematous patients.
SureSigns VSi Instructions for Use A-1
Technical Alarms

NBP Equip Malfunc Low NBP equipment malfunction. See your system
administrator to check the error log for details.
NBP Hose Blocked Low The monitor has detected a defect in the pneumatic
system, such as valves, tubing, or plug.
NBP Loose Cuff Low The NBP cuff cannot inflate to the target value within the
patient size dependent limit. May be caused by a pump
defect, leakage, or disconnected cuff.
NBP Out of Range Low The NBP value is outside the NBP measurement range.
NBP Overpressure High The NBP cuff pressure exceeds the overpressure safety
limits:
• 300 mmHg (40 kPa) for adult/pediatric patients
• 150 mmHg (20 kPa) for neonatal patients
This error may be caused by a sudden rise in pressure if
the cuff is squeezed or bumped.
The monitor cannot take any more NBP readings until
the alarm is acknowledged.
NBP Timeout Low The NBP cuff deflation lasts longer than the patient size
dependent limit, or the measurement time exceeded 180
seconds for adult/pediatric and 90 seconds for neonatal.
This may be due to extreme bradycardia or excessive
artifacts.
NBP Weak Signal Low The monitor could not derive a blood pressure
measurement. This may be due to excessive artifacts,
extremely weak pulse signal, incorrect patient size
setting, or blood pressure out of measurement range.
Speaker Malfunc Low There is a speaker malfunction. This is only a visual
alarm. See your system administrator to check the error
log for details.
SpO2 Equip Malfunc Low SpO2 equipment malfunction. See your system
A-2 SureSigns VSi Instructions for Use
Technical Alarms

SpO2 Erratic Low Erratic SpO2 measurement. Often due to a faulty sensor,
incorrect application, or incorrect positioning of sensor.
SpO2 Extd Update Low The update period of the displayed SpO2 value is
extended because an NBP measurement is being taken on
the same limb, or because of an excessively noisy signal.
SpO2 Interference Low The level of ambient light or electrical interference is so
high that it prevents SpO2/pulse rate from being
measured reliably.
SpO2 Low Perf Low SpO2 accuracy may be compromised due to very low
perfusion.
SpO2 Noisy Signal Low Excessive patient movement or electrical interference is
causing irregular pulse patterns.
SpO2 Sensor Malfunc Low Malfunction of the SpO2 sensor or sensor cable. See your
system administrator to check the error log for details.
Temp Module Malfunc Low There is a module malfunction.
If the malfunction is caused by electrostatic discharge on
the temperature probe, you can reset the temperature
module and clear the error by inserting the probe into the
probe well and pulling it out.
If the error message is not cleared after you insert the
probe into the probe well and pull it out, the malfunction
may be caused by one of the following:
• Battery or power supply voltage not in range
• Ambient temperature too high
• Ambient temperature too low
See your system administrator to check the error log for
details.
Temp Out of Range Low The temperature value is outside the temperature
measurement range.
SureSigns VSi Instructions for Use A-3
Technical Alarms

Temp Probe Error Low There is a probe error.
If the malfunction is caused by electrostatic discharge on
the temperature probe, you can reset the temperature
module and clear the error by inserting the probe into the
probe well and pulling it out.
If the error message is not cleared after you insert the
probe into the probe well and pull it out, the malfunction
may be caused by one of the following:
• The probe well is missing
• The probe well is not installed properly
• The probe warmer has overheated
See your system administrator to check the error log for
details.
Wireless Malfunc Low There is a wireless malfunction. See your system
A-4 SureSigns VSi Instructions for Use
B
Electromagnetic Compatibility
This appendix lists the tests and compliance levels that make the SureSigns VSi
vital signs monitor suitable for use in the specified electromagnetic environment
according to IEC 60601-1-2:2001.
Instructions for Use

Medical electrical equipment can either generate or receive electromagnetic
interference. This product has been evaluated for electromagnetic compatibility
(EMC) with the appropriate accessories according to IEC 60601-1-2:2001, the
international standard for EMC for medical electrical equipment. This IEC
standard has been adopted in the European Union as the European Norm,
EN 60601-1-2:2001.
Radio frequency (RF) interference from nearby transmitting devices can degrade
performance of the product. Electromagnetic compatibility with surrounding
devices should be assessed prior to using the product.
Fixed, portable, and mobile radio frequency communications equipment can also
affect the performance of medical equipment. See your service provider for
assistance with the minimum recommended separation distance between RF
communications equipment and the product.
The cables, sensors/transducers, and other accessories for which compliance is

claimed are listed earlier in this guide.
SureSigns VSi Instructions for Use B-1
Reducing Electromagnetic Interference
Warning Use of accessories, transducers, and cables other than those specified may
result in increased emissions and/or decreased immunity of the SureSigns
VSi vital signs monitor.
The SureSigns VSi vital signs monitor should not be used adjacent to or
stacked with other equipment. If adjacent or stacked use is necessary, the
monitor should be observed to verify normal operation in the configuration
in which it is used.
Reducing Electromagnetic Interference

The SureSigns VSi vital signs monitor and associated accessories can be
susceptible to interference from other RF energy sources and continuous,
repetitive, power line bursts. Examples of other sources of RF interference are
other medical electrical devices, cellular products, information technology
equipment, and radio/television transmission. If interference is encountered, as
demonstrated dramatic variations in physiological parameter measurement
values, attempt to locate the source. Assess the following:
• Is the interference due to misplaced or poorly applied sensors? If so,

re-apply sensors correctly according to directions in the product’s
Instructions for Use.
• Is the interference intermittent or constant?
• Does the interference occur only in certain locations?
• Does the interference occur only when in close proximity to certain
medical electrical equipment?
• Do parameter measurement values change dramatically when the AC
power cord is unplugged?
Once the source is located, attempt to attenuate the interference by distancing
the product from the source as much as possible. If assistance is needed, contact
your local service representative.
B-2 SureSigns VSi Instructions for Use
Emissions and Immunity
Emissions and Immunity

The SureSigns VSi vital signs monitor is designed and evaluated to comply with
the emissions and immunity requirements of international and national EMC
standards. See Table B-1 through Table B-4 for detailed information regarding
declaration and guidance.
The EMC standards state that manufacturers of patient-coupled equipment must

specify immunity levels for their systems. See Table B-2 and Table B-3 for this
detailed immunity information. See Table B-4 for recommended minimum
separation distances between portable and mobile communications equipment
and the product.
Immunity is defined in the standard as the ability of a system to perform without

degradation in the presence of an electromagnetic disturbance. Degradation in
system performance is a qualitative assessment which can be subjective.
Caution should, therefore, be taken in comparing immunity levels of different

devices. The criteria used for degradation is not specified by the standard and
can vary with the manufacturer.
Guidance and Manufacturer’s Declaration

The SureSigns VSi vital signs monitor is intended for use in the electromagnetic
environment specified in the following tables. The customer or the user of the
product should assure that it is used in such an environment.
Table B-1. Electromagnetic Emissions
Emissions Test Compliance Electromagnetic Environment Guidance

RF emissions Group 1 The SureSigns VSi vital signs monitor uses RF energy
CISPR 11 only for its internal function. Therefore, RF emissions
are very low and not likely to cause any interference in
nearby electronic equipment.
RF emissions Class A
CISPR 11
Harmonic emissions Class A The SureSigns VSi vital signs monitor is suitable for
IEC 61000-3-2 use in all establishments, except domestic
establishments and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes.
Voltage fluctuations/flicker Complies

emissions
IEC 61000-3-3
Table B-2. Electromagnetic Immunity (ESD, EFT, Surge, Dips and Magnetic Field)
IEC 60601 Compliance Electromagnetic Environment -

Immunity Test
Test Level Level Guidance
Electrostatic + 6 kV contact + 6 kV contact Floors should be wood, concrete, or

discharge (ESD) + 8 kV air + 8 kV air ceramic tile. If floors are covered with
IEC 61000-4-2 synthetic material, the relative
humidity should be at least 30%.
Table B-2. Electromagnetic Immunity (ESD, EFT, Surge, Dips and Magnetic Field)
IEC 60601 Compliance Electromagnetic Environment -

Immunity Test
Test Level Level Guidance
Electrical fast ± 1 kV differential ± 1 kV In the event of reduced performance,

transient/burst mode it may be necessary to operate the
IEC 61000-4-4 ± 2 kV common ± 1 kV patient monitor from a filtered power
mode connection or battery power (no
electrical connection to the AC mains
while monitoring).
Surge + 1 kV differential + 1 kV Mains power quality should be that of

IEC 61000-4-5 mode a typical commercial and/or hospital
+ 2 kV common + 2 kV environment.
mode
Voltage dips, short < 5% UT < 5% UT

interruptions, and (> 95% dip in UT)
voltage variations for 0,5 cycle
on power supply
input lines 40% UT 40% UT
IEC 61000-4-11
(60% dip in UT)
for 5 cycles
70% UT
70% UT
(30% dip in UT)
for 25 cycles
< 5% UT
< 5% UT
(> 95% dip in UT)
for 5 sec
Power frequency 3 A/m 3 A/m Power frequency magnetic fields

(50/60 Hz) should be at levels characteristic of a
Magnetic field typical location in a typical
IEC 61000-4-8 commercial or hospital environment.
Note: UT is the AC mains voltage prior to application of the test level.
Table B-3. Electromagnetic Immunity (RF Radiated and Conducted)
Immunity IEC 60601 Compliance Electromagnetic Environment -

Test Test Level Level Guidance
Portable and mobile RF communications

equipment should be used no closer to
any part of the SureSigns VSi vital signs
monitor, including cables, than the
recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended Separation Distance

Conducted RF 3 Vrms 3 V rms
IEC 61000-4-6 0.15 MHz – 80 MHz 3.5
Outside ISM bands d = ------- P ; 0.150 MHz – 80 MHz
3
Table B-3. Electromagnetic Immunity (RF Radiated and Conducted)
Immunity IEC 60601 Compliance Electromagnetic Environment -

Test Test Level Level Guidance
Radiated RF 3 V/m 3 V/m 3.5

IEC 61000-4-3 80 MHz – 2500 MHz d = ------- P ; 80 MHz – 800 MHz
3
7
d = --- P ; 800 MHz – 2500 MHz
3
where P is the maximum output power

rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters,

as determined by an electromagnetic site
survey,a should be less than the
compliance level in each frequency
range.b
Interference may occur in the vicinity of

equipment marked with the following
symbol:
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the SureSigns VSi vital signs monitor
is used exceeds the applicable RF compliance level above, the SureSigns VSi vital signs monitor should be
observed to verify normal operation. If abnormal performance is observed, additional measures are necessary,
such as re-orienting or relocating the SureSigns VSi vital signs monitor.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Respiration
measurement may be subject to interference at 900 kHz to 1100 kHz and 70 MHz to 80 MHz at less than 3 V/M
field strength.
Recommended Separation Distances

The SureSigns VSi vital signs monitor is intended for use in an electromagnetic
environment in which radiated RF disturbances are controlled. The customer or
the user of the product can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the product as recommended
below, according to the maximum output power of the communications
equipment.
Table B-4. Recommended Separation Distances Between Portable and Mobile

RF Communication Equipment and the SureSigns VSi Vital Signs Monitor
Frequency of 150 kHz – 80 MHz 80 MHz – 800 MHz 800 MHz – 2.4 GHz
Transmitter
Equation 3.5 3.5 7

d = ------- P d = ------- P d = --- P
3 3 3
Rated Maximum Separation Separation Separation

Output Power of Distance (d) Distance (d) Distance (d)
Transmitter (Watts) (meters) (meters) (meters)
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.17 1.17 2.33
10 3.69 3.69 7.38
100 11.67 11.67 23.33
For transmitters rated at a maximum output power not listed above, the separation distance d
can be estimated, in meters, using the equation in the corresponding column, where P is the
maximum output power rating of the transmitter in watts according to the transmitter’s
manufacturer.
These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
Index
A Blood Pressure Menu, 6-4
AC power LED, 2-5
AC power, troubleshooting, 12-2 C
accessories charging the battery
miscellaneous, 10-10 Charging LED, 2-6
NBP, 10-5 charging status, 2-6
SpO2, 10-2 overview, 2-5
temperature, 10-9 cleaning
alarms approved cleaning agents, 9-2
and nurse call system, 4-9 cables, 9-4
audible, 4-2 guidelines, 9-1
audio failure, 4-3 monitor, 9-2
colors, 4-1 tabletop base, 9-3
latched and non-latched, 4-4 temperature probe and cord, 9-5
pausing, 4-6 temperature probe well, 9-5
silencing, 4-6 configuration, viewing, 2-18
speaker malfunction, 4-3 connector
technical, A-1 NBP, 6-2
testing, 4-9 SpO2, 5-2
troubleshooting, 12-2 temperature input, 7-1
visual, 4-1 connectors, rear panel, 2-3
volume, adjusting, 4-5 cuff, NBP, selecting, 6-2
Alarms Off symbol, 4-2
audible alarms, 4-2 D
settings, 4-2
troubleshooting, 12-2 Date / Time menu, 2-9
Audio Off mode, 4-8 date format, changing, 2-16
Audio Pause mode, 4-7 date, changing, 2-9
Auto Suspend setting, 2-8 Deep Sleep mode, 2-8
deleting patient records
all, 3-25
B for selected patient, 3-24
barcodes overview, 3-23
scanning one at a time, 3-7 diagnosing problems, 12-1
using programmed scanner, 3-10 disinfecting
battery cables, 9-4
disposal, 2-7 monitor, 9-2
status icon, Standby mode, 2-7 display mode
status indicators, 2-6 changing, 2-14
status pane, 2-6 Patient Records, 2-14
Index-1
Vital Signs, 2-12 display, Patient Records, 2-14
display, Vital Signs, 2-12
E Monitored temperature, 7-5
On/Standby, 2-7
editing patient records, 3-18
Predictive temperature, 7-5
scanning individual barcodes, 3-21
SpO2 response, 5-3
using on-screen keyboard, 3-19
monitor
using programmed barcode scanner, 3-22
configurations, 1-3
electrical specifications, 11-2
mounting, 2-10
electromagnetic compatibility, B-1 name, 2-16
environmental specifications, 11-3
overview, 1-1
error messages, 12-5
system information, 2-18
Monitored mode, 7-5
F mounting options, 2-10
front panel, 2-1
N
H NBP
hiding the system time, 2-16 accessories, 10-5
changing units of measurement, 6-6
I configuring inflation pressure, 6-4
measurement limitations, 6-1
initial inflation pressure, 6-4 oscillometric measurement, 11-5
Intended Use statement, 1-3 panes, 6-3
recalculating if limb not at heart level, 6-6
K safety information, 6-7
keyboard, on-screen, 3-5 settings, 6-4
keys, front panel, 2-1 specifications, 11-5
stopping a measurement, 6-7
L troubleshooting, 12-3
NBP cuff
latched alarms, 4-4 connecting, 6-2
LED reasons for deflation, 6-5
AC power, 2-5 selecting, 6-2
network connection status, 2-20
M networked monitors
main screen display, 2-11 connection status, 2-20
measurement limitations, NBP, 6-1 synchronizing date and time, 2-21
mode non-latched alarms, 4-4
Audio Off, 4-8 nurse call system
Audio Pause, 4-7 alarms, 4-9
Deep Sleep, 2-8 troubleshooting, 12-4
display, changing, 2-14
Index-2
O setting up the monitor, 2-4
silencing alarms, 4-6
On/Standby mode, 2-7
speaker malfunction, 4-3
on-screen keyboard, 3-5
specifications
electrical, 11-2
P environmental, 11-3
patient ID general, 11-1
scanning barcodes one at a time, 3-7 interface, 11-10
selecting existing, 3-16 NBP, 11-5
using on-screen keyboard, 3-5 safety, 11-2
using programmed barcode scanner, 3-10 SpO2, 11-8
patient records temperature, 11-3, 11-7
deleting all, 3-25 SpO2
deleting for selected patient, 3-24 accessories, 10-2
editing, 3-18 cables, connecting, 5-2
saving to USB flash drive, 2-17 pane, 5-3
using the View Records button, 3-14 readings, troubleshooting, 12-4
viewing, 3-14 response mode, 5-3
Patient Records display mode, 2-14 safety information, 5-4
Patient Records table, 2-14, 3-1 specifications, 11-8
patient type SpO2 Menu, 5-3
changing, 3-5, 3-8, 3-11, 3-12 SpO2 sensors
setting default, 2-16 selecting, 5-1
power, troubleshooting, 12-2 types of, 5-1
powering up the monitor, 2-4 synchronizing date and time, 2-21
Predictive mode, 7-5 system date, changing, 2-9
pulse rate system errors, 12-5
changing the source, 8-2 System Information window, 2-18
pane, 8-1 System Menu, 2-15
settings, 8-1 system settings, changing, 2-15
Pulse Rate source, 8-2 system time
changing, 2-9
R hiding, 2-16
radio regulatory compliance, 11-11
rear panel, connectors, 2-3 T
records, See patient records tabletop base, cleaning, 9-3
technical alarms, A-1
S temperature
accessories, 10-9
safety standards, 11-2
changing the probe site, 7-7
saving measurements without patient ID, 3-12
changing units of measurement, 7-8
saving patient records to USB flash drive, 2-17
measuring, 7-3
selecting existing patient ID, 3-16
pane, 7-2
Index-3
safety information, 7-10
settings, 7-4
specifications, 11-7
verifying accuracy, 7-8
temperature modes
Monitored mode, 7-5
Predictive mode, 7-5
temperature probe and cord, cleaning, 9-5
temperature probe well, cleaning, 9-5
temperature probe, connecting, 7-1
temperature readings, troubleshooting, 12-4
testing alarms, 4-9
time synchronization, 2-21
time, system
changing, 2-9
hiding, 2-16
tool tips, 2-15
troubleshooting
AC power, 12-2
audible alarms, 12-2
diagnosing problems, 12-1
NBP, 12-3
nurse call system, 12-4
SpO2 readings, 12-4
temperature readings, 12-4
U
units of measurement
NBP, 6-6
temperature, 7-8
V
visual alarms, 4-1
Vital Signs display mode, 2-12
volume, adjusting alarm, 4-5
Index-4

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Vital Signs Monitor

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ii SureSigns VSi Instructions for Use

First Edition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . October 2011

SureSigns VSi Instructions for Use iii

This section describes the conventions used in this guide.

Typeface Usage Example

Bold System keys Press the Main Screen key.

Italic Variables, document • <product name>-<hardware

Notes, Cautions, and Warnings

Note — A Note calls attention to an important point in the text.

iv SureSigns VSi Instructions for Use

Warning A Warning calls attention to a condition or possible situation that could

The following symbols appear on the SureSigns VSi and packaging.

Symbol Description Symbol Description

Up/Down key Alarm Silence key

Select key NBP key

On/Standby key Main Screen key

CE marking Serial number

SureSigns VSi Instructions for Use v

Rx Only Prescription Use Only Batch code

90% Humidity limitation Date of manufacture

Fragile, handle with care Keep out of sun

Keep dry Keep upright

Catalog number Manufacturer’s Name

Electrostatic sensitive Sterile

SpO2 connector USB port

Temperature connector Charging LED

NBP connector AC Power LED

ICES-001 Canadian ISM Option number

vi SureSigns VSi Instructions for Use

Compliance with WEEE Ethernet port

100-240V ~ 50/60Hz 120VA

Caution, consult Nurse call connector

Defibrillator Proof Type 40°C

Atmospheric pressure RF Interference

EUFP (Environmentally- Ingress protection

Alarms off Equipotential grounding

CE marking and identifier Korean radio mark

IC ID Industry Canada radio FCC ID FCC radio label

SureSigns VSi Instructions for Use vii

viii SureSigns VSi Instructions for Use

3. Creating a New Patient Record

8. Monitoring Pulse Rate

9. Care and Cleaning

10. Accessories List

About the SureSigns VSi Monitor

• Adult, pediatric, and neonatal capability

Indications for Use

Standard and optional parameters include:

1. The wireless option may not be available in all countries.

SureSigns VSi Monitor Configurations

Measurement Parameters and Features

NBP SpO2 Temp Wireless

SureSigns VSi Documentation

• SureSigns VS2+ and VSi Installation and Configuration Guide:

Note — For information about purchasing additional copies of the

• SureSigns VSi Quick Card: Provides brief descriptions of commonly

The Front Panel

Main Screen key Select key

NBP key Up/Down key

Alarm Silence key